- Kaleida Health (Buffalo, NY)
- …with federal and state regulations. Diagnoses and procedures are coded through review of the entire medical record, utilizing the International Classification of ... **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… more
- Albany Medical Center (Albany, NY)
- …education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. ... and CPT4 codes, abstract data elements for billing and reporting, and assign DRG , APC, and APG as appropriate. (High proficiency) + Highly skilled in team… more
- Molina Healthcare (Rochester, NY)
- …Experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including 2 years ... Universal Claims, Surgery, Anesthesia, high dollar complicated claims, COB and DRG /RCC pricing), and IPA. + 2 years supervisory/management experience with… more
- Independent Health (Buffalo, NY)
- …+ Knowledge of healthcare concepts and healthcare data, for example CPT, HCPCS, DRG , ICD-10/ICD-9 Code, etc. + Knowledge of industry analytical concepts (courses of ... of business initiatives under guidance from senior team members. + Participate in methodology review sessions. + QA own work and work of others when assigned. +… more
- Mohawk Valley Health System (Utica, NY)
- …AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities + Assign the appropriate DRG based on an analysis of the patient file and medical necessity + Assign ... and procedural coding + Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding related policies and procedures +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and identifying any deficiencies. + Prepare summaries for management of quality review results, including basic analysis of identified trends. + Analyzes audit ... for workflow enhancements. + Evaluates Prospective Payment System (PPS) (eg APC, DRG , etc.) grouping and pricing information. + Meets individual and departmental… more