- Northwell Health (Lake Success, NY)
- …to maintain relevant efficiency and turnaround time standards for completing coding/ DRG assignment. 9.Assigns and reports all other data elements required for ... Statewide Planning and Research Cooperative System (SPARCS) data collection, Congenital Malformations and Expirations. 10.For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT)… more
- University of Rochester (Rochester, NY)
- …accordance with applicable coding rules and policies (eg ICD-10, CPT-4, HCPCS, DRG ). Analyzes, enters and manipulates database. Responds to or clarifies internal ... requests for medical information. JOB DUTIES AND RESPONSIBILITIES: - Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical… more
- Centene Corporation (New York, NY)
- …Conducts rate negotiation with non-network providers, utilizing appropriate CMAC, DRG , HCPC reimbursement methodologies. + Documents rate negotiation accurately for ... proper claims adjudication. + Acts as liaison between the TRICARE beneficiary and the provider, facility and the MTF to utilize appropriate and cost effective medical resources within the direct care and purchased care system. + Identifies and refers potential… more
- Mount Sinai Health System (New York, NY)
- …care hospital Proficiency in the use of automated coding and DRG /AOC grouping software. **Licensing and Certification Requirements (if applicable)** Name: Certified ... Coding Specialist (CCS) Issuing Agency: American Academy of Professional Coders (AAPC) Collective bargaining unit: SEIU 1199-MSH SEIU 1199 at Mount Sinai Hospital, 183 - Medical Records - MSH, Mount Sinai Hospital **Responsibilities** 1.Reviews, analyzes and… more
- WMCHealth (Valhalla, NY)
- …setting, required. Basic knowledge of reimbursement methodologies, such as MSDRG, APR DRG , CPT-4, HCPCS, UB04 and NYS regulations as they relate to Managed ... Care Organizations. Education: Associates degree required, Bachelor's degree preferred in Business, Finance, or a related field. Licenses / Certifications: N/A About Us: NorthEast Provider Solutions Inc. Benefits: We offer a comprehensive compensation and… more
- Sumitomo Pharma (Albany, NY)
- …+ Strong knowledge and experience with pharmaceutical data sources (ie, IQVIA, SHA, MMIT/ DRG formulary / market access data). + Solid understanding how brand payer ... access impacts sales strategy and field pull through tactics. + Proven success in developing analyses with Business Intelligence tools and methods (eg, Tableau, Qlikview, SQL). + Excellent team player and collaborative skills. + Strong demonstrated project… more
- Albany Medical Center (Albany, NY)
- …and encoder. + Excellent command of the ICD-10-CM/PCS and CPT4 classification systems and DRG , APC and APG methodology. + Experience working with CDI + Must be able ... to understand and comply with policies and procedures + Ability to multi-task while utilizing multiple screens + Strong computer skills with the ability to learn multiple EMR systems as well as data reporting systems + Demonstrated excellent communication… more
- Trinity Health (Syracuse, NY)
- …progress each patient's care towards discharge. + Monitor **length of stay, working DRG , and discharge readiness** , + Identify and escalate **discharge barriers or ... readmission risks** to ensure seamless care transitions + Support safe discharges through timely assessments, planning, and resource coordination + Provides patient and family education regarding care plans, discharge instructions, and available resources. +… more
- Kaleida Health (Buffalo, NY)
- …**1 year of experience in coding with ICD 10, PCS, CPT Coding and DRG /APC assignment in an acute care facility preferred. Prior experience with computerized software ... for encoding and grouping applications. 6 months of experience which shows evidence of ICD 10 continuing education credits required. 1 year of experience in Microsoft Windows/Office and proficiency in working with computers required. Coding Assessment ICD 10… more
- Albany Medical Center (Albany, NY)
- …and CPT4 codes, abstract data elements for billing and reporting, and assign DRG , APC, and APG as appropriate. (High proficiency) + Highly skilled in team ... development, critical thinking, organization, verbal, and written communication. Skilled in team-oriented job tasks with providing detail and accuracy, strong customer service skills. (High proficiency) + Ability to work independently and effectively with a… more