- 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
- WMCHealth (Valhalla, NY)
- …coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + Recommend sound financial best practices that are ... + Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze and maintain… more
- Molina Healthcare (Yonkers, NY)
- …coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record 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
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …or equivalent combination of education and experience + Certified Professional/Medical Coder or Certified Professional Medical Auditor desired Experience- + Minimum ... programs + In-depth knowledge of ICD, CPT, and HCPCS coding as well all billing, CCI, MUEs, and other...as well all billing, CCI, MUEs, and other relevant coding /billing guidelines + Ability to read and interpret medical… 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
- Meta (Albany, NY)
- …systems, systems analysis, and computer programming. 2. Be both a highly technical, hands-on coder and an effective people manager. 3. Be a subject matter expert in ... including hands-on technical management building infrastructure core components 18. 2. Coding in one of the following languages: C++, Java, Javascript, Python,… more