- WMCHealth (Valhalla, NY)
- …related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. + Interprets and applies ... necessary information. + Compiles and updates the appeal log detailing denials , hospital's reply, and follow-up responses. + Provides information and responds… more
- City of New York (New York, NY)
- …Billing by working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and support functions ... CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch...or "2" above. Certification as a Certified Employee Benefits Specialist from the International Foundation of Employee Benefit Programs… more
- WMCHealth (Valhalla, NY)
- …+ Conducts focused audits on specific services/specialties to identify root causes of coding/ denials and provide feedback. Keeps a log of findings and re-reviews to ... Licenses / Certifications: Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist -Physician Based (CCS-P) through… more
- Ellis Medicine (Schenectady, NY)
- …or Equivalent required. + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health ... working relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the maintenance of the practice's charges and coding, in… more
- Outreach Development Corporation (Brentwood, NY)
- …dates and requirements of tours/speaking engagements, open houses. Reimbursement Specialist Responsibilities: + Prepares Public Assistance application for HRA within ... Bills insurance and is responsible for the collection of insurance payments and denials . + Responsible for monthly revenue reports. Qualifications + Minimum of HS… more
- SUNY Upstate Medical University (Syracuse, NY)
- …internal audits and maintain all documentation. Review and analyze insurance denials , identifying problem areas and recommending and coordinating corrective actions. ... Program. Preferred Qualifications: Certified Professional Coder (CPC) /Certified Coding Specialist (CCS) also preferred. Extensive knowledge of billing requirements… more
- University of Rochester (Rochester, NY)
- …with universally recognized coding guidelines. + Reviews and resolves coding denials . Resolves problems with claims having errors related to improper coding ... (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or + Certified Professional Coder (CPC) from American… more
- University of Rochester (Rochester, NY)
- …coding, resolving coding charge review and claim edits, and resolving coding denials . 25% Identifies and escalates coding issues and trends to management. Assists ... Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required -… more
- Albany Medical Center (Albany, NY)
- …professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are ... each quarter in a 12-month calendar year. + Communicates to Coding Support Specialist on topics for monthly meetings. + Research new coding clinics, guidelines, and… more
- University of Rochester (Rochester, NY)
- …functionality required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to insurance or ... the insurance company by applying knowledge and experience of previous authorization requests, denials and approvals. + On behalf of the provider and the University,… more