- Nuvance Health (Poughkeepsie, NY)
- …clarification when documentation is incomplete, conflicting, or ambiguous. * Ensure compliance with all *federal, state, and organizational coding regulations*. ... *Company:* Nuvance Health *Department:* Coders - Professional & Facility Charging and Coding *Location:* Remote *Pay Range:* $23.64 - $45.92 Hourly *Schedule:* Full… more
- Mount Sinai Health System (New York, NY)
- …Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and ... a **Senior Contract Manager Analyst** will play a critical role in testing, coding , modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB)… more
- Ellis Medicine (Niskayuna, NY)
- …the Service Catalog (Charge Description Master) and related encounter forms, ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government ... regulations, responsible for reviewing and coding from discharge data abstracts; and ensuring the practice(s) is optimizing reimbursement from third party payers by… more
- Ellis Medicine (Schenectady, NY)
- …Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government ... regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the...audits for practice providers to optimize accurate documentation and coding . Additionally, all Medical Coders will participate in regularly… more
- WellLife Network (NY)
- …for complex claim or payment issues requiring advanced knowledge of payer rules, coding and reimbursement guidelines. 5. Ensure compliance with federal and state ... and reimbursement process. + Strong understanding of CPT, ICD-10, and HCPCS coding principles. + Knowledge of, HMO/PPO, Medicare, Medicaid, and other payer… more
- New York University (Brooklyn, NY)
- …Previous experience on coding development is necessary . Salary range In compliance with NYC's Pay Transparency Act, the base salary for this position is an ... in the deployment and development of CUSP urban observatory equipment and coding . The successful candidate will have a demonstrated background in Urban Science.… more
- Mount Sinai Health System (Elmhurst, NY)
- …in a timely and complaint manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue is captured. **Qualifications** ... High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion of a certificate course with CPC /… more
- Ankura (New York, NY)
- … compliance issues. + Ankura's payer team brings a combination of compliance , operations, audit, clinical coding , data analytics, financial, valuation, and ... the issues associated with complex disputes, investigations, regulatory and compliance , and technology services. Our practice professionals have a thorough… more
- Highmark Health (Albany, NY)
- …data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL ... and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates...in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case ... contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as… more