- 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 (Buffalo, NY)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- WMCHealth (Valhalla, NY)
- …Coordinator reviews and revises accounts to achieve revenue enhancement and billing/ coding compliance. This position updates and reviews accounts to ensure accurate ... billing. The incumbent identifies patterns for educational opportunity, researches coding questions, and tracks audited cases. Responsibilities: + Monitors various… more
- Humana (Albany, NY)
- … **Preferred Qualifications** + **STRONGLY PREFERRED:** Previous auditing, Nurse Coder Background, and/or CPT procedural code experience/certified coder ... (CPC) + Nursing experience preferred in Acute care, OR, Coding , and/or Quality + Clinical documentation improvement (CDI) knowledge + Bachelor's Degree in relevant… more
- Molina Healthcare (Buffalo, NY)
- …practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience ... suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case… 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
- Highmark Health (Albany, NY)
- …and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical ... or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve issues that… more
- MUFG (New York, NY)
- …This is an excellent position if you are an intermediate scripter or coder , appreciate streamlining and automating processes, and looking to enhance your skillset ... Skills:** + Strong experience (5+ years) automating processes via scripting or coding , including interacting with APIs (eg PowerShell, Python, .Net, Java) + Strong… 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 ... experience including hands-on technical management building infrastructure core components 17. Coding in one of the following languages: C++, Java, Javascript,… more
- Meta (New York, 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 ... in a computer-related occupation.' Requires five years of experience in the following:' Coding in one of the following languages: C++, Java, Javascript, Python, or… more