• Financial Improvement Assistant Manager

    SUNY Upstate Medical University (Syracuse, NY)
    …Chargemaster. This includes hospital fee schedules, Lawson data accuracy, CPT /HCPCS year-end updates, Finance/Willow Pharmacy Process and 340B drug accuracy. ... make sure all charges are appropriately built to ensure efficient and accurate billing . Special projects may be assigned by the Financial Improvement Manager as… more
    SUNY Upstate Medical University (04/22/25)
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  • Sr Analyst, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Albany, NY)
    …code systems (ICD-10CM, CPT , HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts ... and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of… more
    Molina Healthcare (04/20/25)
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  • Sr Analyst, Medical Economics (Clinical Analytics…

    Molina Healthcare (Albany, NY)
    …code systems (ICD-10CM, CPT , HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts ... and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), + Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * + Understanding… more
    Molina Healthcare (04/20/25)
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  • Forensic Auditor: Investigate Complex Healthcare…

    New York State Civil Service (New York, NY)
    …and/or advanced statistical training.* Knowledge of the healthcare industry and medical coding concepts ( CPT , ICD-9/10, DRGs) and/or experience analyzing health ... as pharmaceutical companies, doctors, hospitals, and nursing homes, who engage in Medicaid billing schemes that cause harm to Medicaid recipients and the loss of… more
    New York State Civil Service (04/01/25)
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  • Office Manager Primary Care Neighborhood Health…

    Catholic Health (Niagara Falls, NY)
    …+ One (1) to three (3) Years medical office management + Experience in CPT & ICD--10 Coding knowledge and medical terminology required + Management experience ... Home, with MIPS, HEDIS requirements preferred + Strong knowledge of Medical Billing & Third party payer requirements + Computer proficiency in Microsoft Office… more
    Catholic Health (03/20/25)
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