- Molina Healthcare (Buffalo, NY)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …Summary:** Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate ... assigned tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** +… more
- Ellis Medicine (Niskayuna, NY)
- …weekly chart audits for practice providers to optimize accurate documentation and coding . Additionally, all Medical Coders will participate in regularly ... or insurance coding and billing experience preferred. Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and… more
- Ellis Medicine (Schenectady, NY)
- …weekly chart audits for practice providers to optimize accurate documentation and coding . Additionally, all Medical Coder will participate in regularly scheduled ... insurance coding and billing experience required. + Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and… more
- Molina Healthcare (Buffalo, NY)
- …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... in the specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific… more
- Midwood EMS (Brooklyn, NY)
- …for diagnosis coding and DRG for procedure coding . + Handle medical collections, including following up on unpaid claims and patient balances. + ... Ambulance is seeking a detail-oriented , experienced and organized Medical Biller to join our healthcare team....will be responsible for managing billing processes, ensuring accurate coding , and maintaining medical records. This role… more
- Molina Healthcare (Yonkers, NY)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form). * Advanced understanding of key managed ... executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding ... and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. +...within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG,… more
- Molina Healthcare (NY)
- …better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to ... Education** Master's Degree **Preferred Experience** * Preferred experience in healthcare medical economics and/or strong financial analytics background… more
- Molina Healthcare (Yonkers, NY)
- …better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to ... Education** Master's Degree **Preferred Experience** + Preferred experience in healthcare medical economics and/or strong financial analytics background… more