- Datavant (Albany, NY)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM,...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
- Mount Sinai Health System (Elmhurst, NY)
- …a certificate course with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder /AAPC. Ability to use computer. ... to examine scanned documents, such as operative reports to determine accuracy of coding . Ability to prioritize own work and proceed with minimum supervision. Ability… more
- Datavant (Albany, NY)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM,...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
- Nuvance Health (Poughkeepsie, NY)
- …7. Works closely with Patient Accounting to ensure all billing edits and coding edits are corrected within Revenue Cycle, where applicable 8. Works with ... Coding Departments, Registration areas and Information Technology Services to.... Bachelor's Degree or equivalent experience . Certified Professional Coder (CPC) preferred .Five (5) years relevant experience in… more
- Datavant (Albany, NY)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
- Mount Sinai Health System (New York, NY)
- …Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. ... diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health...the providers bill, to make sure the providers a coding optimally. 3. Collaborate with other coders and provide… more
- Molina Healthcare (Rochester, NY)
- …coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
- Highmark Health (Albany, NY)
- …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and… more
- Oak Orchard Health (Brockport, NY)
- …within client assigned status buckets. Perform weekly audits to ensure proper billing/ coding on claims, provide reports to Chief Financial Officer and Leadership, ... and insurance payer representatives, as needed, + Stay apprised with billing/ coding updates and communicate updates to leadership and clinical staff, providing… more
- Molina Healthcare (Yonkers, NY)
- …home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG, ... one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more