- University of Rochester (Albany, 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...Information Technician upon hire required or + CCS-Certified Coding Specialist upon hire required or + Certified Professional Coder… more
- University of Rochester (Rochester, NY)
- …which includes but is not limited to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed + Hold Bill Worklists + Statement Edits + ... a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement… more
- MVP Health Care (Schenectady, NY)
- …across MVP departments and teams. + Collaborate with the Value Stream Specialist and Director of Product Operations to thoroughly plan product implementation across ... our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims /Operations** **Pay Type** **Salary** **Hiring Min Rate** **56,200 USD** **Hiring… more
- University of Rochester (Albany, NY)
- …coding guidelines. + Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction ... (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). + Certified Professional Coder (CPC) from American Academy of… more
- Gilead Sciences, Inc. (Syracuse, NY)
- …roles, responsibilities, and measurable outcomes for all activities of the specialist team. Regularly measure success, document and provide feedback on performance. ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Senior Resident Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident ... viable assets associated with paying privately. + Prepares and submits billing claims for Private, Medicare, Medicaid and other third-party insurances + Maintain… more
- City of New York (New York, NY)
- …indirectly supervise ARU staff which consists of Clerical Associates, Eligibility Specialist , and Principal Administrative Associates involved in claim review and ... - Liaise with the Social Security Administration on any issues related to the claims or the use of the Government Service Online (GSO) application. Salary Range:… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …5. In conjunction with the assigned Incident Management Investigator Specialist , prepares investigative reports and forwards completed reports to the ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- Trinity Health (Rensselaer, NY)
- …with proper documentation. - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. - ... pre-certification process. Care Coordination - Confirms payer is in-network with specialist . If not, contacts patient to discuss and make alternate arrangements… more
- Evolent (Albany, NY)
- …Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager ... coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality… more