- 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
- University of Rochester (Rochester, NY)
- …Responsible for system edit reviews and follows up on insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and ... (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred + Certified Professional Coder (CPC) from American Academy… more
- Mohawk Valley Health System (Utica, NY)
- …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... testimonies. Act as a liaison with payers to facilitate approvals and prevent denials or carved out days when appropriate. Provide telephonic and written appeals as… more
- Rochester Regional Health (Rochester, NY)
- …in various system committees and work groups, including billing, revenue cycle, denials , and others as assigned. + Ensure effective staffing levels by evaluating ... duties as assigned. REQUIRED QUALIFICATIONS + Must obtain Certified Clinical Documentation Specialist (CCDS) within two years of hire. + Minimum five years acute… more
- Mount Sinai Health System (New York, NY)
- …Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial. ... with payers to ensure timely handling of audit requests, review technical payer denials , determine if an appeal is warranted, and write and track appeal letters.… more
- University of Rochester (Rochester, NY)
- …accordance with universally recognized coding guidelines. + Reviews and resolves coding denials . + Resolves problems with claims having errors related to improper ... (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). Preferred + Or Certified Professional Coder (CPC) from American… more