- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... experience involving economic or insurance related matters; or an associate 's or bachelor's degree in criminal justice or related...year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG, HCPCS, ICD10, etc.). +… more
- Humana (Albany, NY)
- …a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
- Molina Healthcare (Syracuse, NY)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
- New York University (New York, NY)
- …Employment Start Date: Summer 2022 Term Terms: Adjunct Reports To: Associate Director, Academic Services The Opportunity Programs' non-credit courses (NCCs) are ... Confident in teaching a wide range of Python and coding courses (Strong preference for Programming & Problem Solving,...and tardies from courses and/or the NCC to the Associate Director, Academic Services and the appropriate OP student… more
- MVP Health Care (Rochester, NY)
- …Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding , and analytical thinking and this is the opportunity for you. **What's in it ... in Health Administration, Business, Economics, Health Informatics, or related field. Associate 's degree with the equivalent combination of related experience may… more
- UHS (Binghamton, NY)
- …processing for the following physician based practices and facility coding practices; internal medicine, family practice, residency based practices, pediatrics, ... and CPEP. Code assignments are completed in accordance to coding and reimbursement guidelines with minimal errors. Emergency Department...the CPC, CCA, CCS-P, or CCCS exam; or an Associate 's Degree in HIT with RHIT certification or eligible… more
- Catholic Health Services (Melville, NY)
- …clinical documentation to support diagnoses These reviews are in contrast to coding /compliance reviews, which evaluates what is written in the encounter note ... a result of reviews. Recommends improvement opportunities to documentation practices and coding changes to physician based on information + Develops and implements… more
- Bassett Healthcare (Cooperstown, NY)
- …improvement, will help facilitate best practice models, including charge capture, coding utilization and denial avoidance. + Responsible for supporting the daily ... revenue recovery throughout the organization by identifying charge capture, coding , andreimbursement problems, then recommending/implementing solutions to achieve AO… more
- Humana (Albany, NY)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
- Stony Brook University (East Setauket, NY)
- …not limited to:** + Prepare and submit hospital claims. Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied claims, improper payments ... and coding issues. + Process appeals. + Liaise with third...business experience, preferably in a healthcare setting; **or** an Associate 's degree and at least 6 months of business… more