- University of Rochester (Rochester, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert...and accurate manner. **20%** Uses knowledge and experience to review and trend analytic and reporting data identifying problem… more
- University of Rochester (Albany, NY)
- …and training, licensure, work history, hospital affiliation history, malpractice claims history, board certification status, criminal background, evaluation of ... and adverse information obtained during the application process to ensure review and approval bodies have information needed to make informed credentialing… more
- University of Rochester (Rochester, NY)
- …**ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical ... reviews to make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves… more
- University of Rochester (Albany, NY)
- …FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through ... handled within established guidelines and timeframes. + Troubleshoots problems that prevent claims from being released. + Identifies cause of edit and independently… more
- The Hartford (New York, NY)
- …we help shape the future. Navigators Re ("NavRe") is a global, underwriting-driven, specialist reinsurer. Since its start in 2010, NavRe has achieved steady growth, ... position, the individual will collaborate with underwriting, reserving, and claims counterparts to project expected profitability, evaluate returns for individual… more
- University of Rochester (Rochester, NY)
- …FUNCTIONS** + Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes through medical ... coding guidelines. + Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction… more
- New York State Civil Service (NY)
- …as required in meetings with Board and DOCCS staff concerning the review and development and/or modification of Department policies, procedures and programs. 5. ... Board of Parole. This includes, but is not limited to, analyzing the claims , records and decisions involved, preparing written analyses, and communicating with the… more
- New York State Civil Service (Syracuse, NY)
- …to the Safety Evaluation, Commercial Development/Permits, or Traffic Engineering/Design Review Units. Reassignments within the Traffic Group to address immediate ... position may be as the Region 3 Accident Damage Recovery and Claims Manager.Reassignments within Transportation Maintenance to address operational needs can be… more
- University of Rochester (Rochester, NY)
- …FUNCTIONS** + Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, ... guidelines. + Reviews and resolves coding denials. + Resolves problems with claims having errors related to improper coding and provides feedback for correction… more
- Insight Global (New York, NY)
- Job Description Insight Global is seeking a specialist in Mastercard or Visa chargeback processes for a Disputes Product Management Lead position supporting the ... support a large body of work for the Dispute team's back-office operations. The claims agents use Pega Dispute as their platform to manage credit card disputes and… more