- Datavant (Albany, NY)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with...**What you will bring to the table:** + Two ( 2 ) years managed care experience in UM/CM/CDI Department preferred… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, ... charges are entered/processed in accordance with policies and procedures. 2 . Extract CPT codes form operative reports and reconcile...the providers bill, to make sure the providers a coding optimally. 3. Collaborate with other coders and provide… more
- Stony Brook University (East Setauket, NY)
- …following, but are not limited to:** + Prepare and submit hospital claims. Review denials . Investigate coding issue. Audits. + Follow-up on rejected or denied ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...claims, improper payments and coding issues. + Process appeals. + Liaise with third… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Outpatient Administrative Specialist will obtain routine and non-routine insurance pre-authorizations, providing insurance companies with procedural ... reverse the denial. Communicates with providers and patients about insurance denials , to include advising patients on insurance carrier requirements including… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Medical Assistant Program. Preferred Qualifications: Certified Professional Coder (CPC) /Certified Coding Specialist (CCS) also preferred. Extensive knowledge of ... insurance demographic information and medical necessity pertaining to documentation and coding . Will interact with referring physicians, patients, hospital and MSG… more
- Ellis Medicine (Schenectady, NY)
- …School Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or ... Registered Health Information Administrator (RHIA) required. Two ( 2 ) - five (5) years of out-patient ...PBO dept. to reduce and address claim issues and denials timely. + Assists in the maintenance of the… more
- Albany Medical Center (Albany, NY)
- …morning huddle one week each quarter in a 12-month calendar year. + Communicates to Coding Support Specialist on topics for monthly meetings. + Research new ... Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These...position providing quality feedback to staff. - required + 2 or more years of experience coding … 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 ... & EXPERIENCE** + High School diploma or equivalent and 2 years of experience as a medical coder required...(RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or + Certified… more
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