- 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 ... Acts as a resource to staff members. + Provides back-up for Supervisor/ Manager , whenever necessary. Minimum Qualifications: NOTE: We include multiple levels of… more
- Molina Healthcare (Rochester, NY)
- …for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
- MTA (New York, NY)
- …field evolves and as risks and circumstances change. The Application Development Security Manager role is designed to oversee and enhance the security of our ... delivery in the domains of application code development, rapid application coding , DevSecOps, and accommodate the strategic change the Agile Product Management… more
- Mohawk Valley Health System (Utica, NY)
- …data and reports as appropriate. This role reports to the Trauma Program Manager , Core Job Responsibilities + Performs basic data collection of demographics, and ... coding of clinical and follow-up data from all sources... issues/problems and appropriately seeks assistance from Trauma Program Manager for the more difficult ones. + Maintains patient… more
- TD Bank (New York, NY)
- …& mitigation. + Change management. + Data analysis & reporting Technical Skills + Coding ability in Python, R, Java, SQL, and/or Scala. + Familiarity with AI and ... cycles and post-production deployment and participate in reviewing peer coding + Adheres to standard security coding ...have regular career, development, and performance conversations with your manager , as well as access to an online learning… more
- The Institute for Family Health (New Paltz, NY)
- …payer contracts and communicates such information in a timely manner to their manager for escalation. + Maintains familiarity with the Institute fee schedules as ... well as CPT and ICD-10 coding and keeps up to date on annual changes....in new staff orientation programs to familiarize them with coding and billing procedures and policy updates as deemed… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: Under general supervision of the Manager , Health Information Services, the Denials Specialist performs activities to ensure appropriate ... from payers. This position provides a vital link between inpatient coding , clinical documentation improvement, Patient Access (PA) and Patient Financial Services… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Under the general guidance of the Ambulatory Billing Manager , the Ambulatory biller/coder is responsible for monitoring, auditing, and identifying ... Service staff to ensure claims are billed and/or resubmitted with appropriate coding . Responsible to assist ambulatory departments with coding issues and/or… more
- Trinity Health (Albany, NY)
- …Avenue, Albany, NY. Searching for a motivated medical biller for our orthopedics team. Coding a plus but not needed. Insurance knowledge a must. Position reports to ... operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. **Responsibilities:** + Responsible to monitor… more
- Mount Sinai Health System (New York, NY)
- …in a health care or insurance environment, and familiarity with ICD/CPT coding . + CPC Preferred Non-Bargaining Unit, ARB - Obstetrics And Gynecology Administration ... in IDX using approved methodologies. + May perform specialty coding for services and medical office visits and review...+ Mentors less experienced Billing staff and assists Billing Manager /FPA Manager in training new staff. +… more