- 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
- 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
- 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
- Northwell Health (Manhasset, NY)
- …Corporate Compliance Program, HIPAA and other regulatory standards; ensures compliance related to billing, coding , and documentation standards; executes the ... key functions are handled in an accurate and timely manner); ensures strict compliance with internal controls for cash management. 6.Engages workforce to obtain high… more
- Tutor Perini (New York, NY)
- …issuance of owner monthly progress report + Accurate Quantities documented on timecards and compliance with project cost coding structure + Management of all T&M ... you will have the opportunity to: + Reviewing project schedule for compliance for subcontractor onboarding process + Creating and issuing subcontractor commitments… more
- Highmark Health (Albany, NY)
- …clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams to ensure operational guidelines are aligned with ... intent. Develop and maintain a thorough understanding of medical coding (ICD-10, CPT, HCPCS) and ensure accurate coding... coding (ICD-10, CPT, HCPCS) and ensure accurate coding principles are incorporated into policy criteria. + **Policy… more
- MTA (New York, NY)
- …and to develop the technical specification and necessary documentation in compliance with MTA procedures. Critical Skills Required: + Strong hands-on experience ... in a timely manner. + Assist less experienced software developers/analysts in solving coding and technical issues related to MTA software. Level 4 Same as Level… more
- Intermountain Health (Albany, NY)
- …and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits ... maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This position will… more
- Highmark Health (Albany, NY)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ... management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by… more