- Molina Healthcare (Syracuse, NY)
- …expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- Intermountain Health (Albany, NY)
- …expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of ... + Participates in hospital quality improvement initiatives to assure accurate reimbursement + Participates in integrated testing of Epic, Solventum, and other… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …coding conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care reimbursement systems. * ... requested by leadership. * Maintains accuracy in all coding and reimbursement methods by researching literature and attending professional seminars, workshops, and… more
- MVP Health Care (Schenectady, NY)
- …teams. + Leverage predictive analytics and rules engines to identify suspicious billing patterns. + Ensure timely investigation, documentation, and resolution of FWA ... cases. **Clinical Coding & Documentation Accuracy** + Ensure correct coding and reimbursement aligned with ICD-10, CPT/HCPCS, DRG, and CMS guidelines. + Serve as a… more
- Bassett Healthcare (Cooperstown, NY)
- …accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures correct data capture and data entry (such ... is recorded in accordance with standard operating procedure to support reimbursement and regulatory compliance and patient care. When appropriate prior… more
- Nuvance Health (Poughkeepsie, NY)
- …condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance. Responsibilities: * Performs ICD-10-CM diagnostic and current ... medical record. * Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines, knowledge of… more
- Walmart (Ticonderoga, NY)
- …compliance execution by others Ensures appropriate operational execution of billing procedures HIPAA compliance adherence and Standard Operating Procedures SOP ... company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. You will also receive PTO and/or...company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. You will also… more
- HealthFitness (Selkirk, NY)
- …initiatives, and status. + Submits employment forms, payroll records and billing worksheets accurately and according to contract provisions and HealthFitness ... fitness and wellness programs incentivized with medical plan discounts, certification reimbursement program, tuition reimbursement , paid new parent leave, paid… more
- Robert Half Finance & Accounting (Brooklyn, NY)
- …funding; + Record and maintain all Accounts Receivable related to grants billing and ensure revenue recognition is in accordance with Generally Accepted Accounting ... (GAAP); + Follow up with funders to ascertain status of reimbursement ; + Provide anticipated reimbursement data to supervisor to assist in cash flow planning; +… more
- Mastercard (Harrison, NY)
- …support, get buy-in for key decisions * Drive contracting and billing simplification with appropriate teams at Mastercard, leveraging existing capabilities where ... best-in-class company match; deferred compensation for eligible roles; fitness reimbursement or on-site fitness facilities; eligibility for tuition reimbursement… more