- Humana (Albany, NY)
- …Qualifications** + BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims ... takes to Succeed** + 2 years experience with a coding certification (Industry-recognized coding certification from the...from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement… more
- Molina Healthcare (Rochester, NY)
- …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage.… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected ... or denied claims , improper payments and coding issues. +...least 6 months of business experience, preferably in a healthcare setting such as revenue cycle, medical … more
- Mount Sinai Health System (Elmhurst, NY)
- …or acquired through the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by ... **Job Description** Review Medical charts and documentation within but not limited...with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder/AAPC. Ability to use… more
- Norstella (Albany, NY)
- …laboratory data, in an academic or industry setting. + Experience working with healthcare coding systems (CPT, NDC, ICD-10) and drug/medication data. + Strong ... Sr. Medical Analyst, RWD Company: MMIT Location: Remote, United...In this role, you will leverage your expertise in ** healthcare data analytics** to extract meaningful insights from **real-world… more
- CenterWell (Albany, NY)
- …help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care ... variable factors. The Medical Director relies on medical background and reviews health claims . The...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- FlexStaff (Chappaqua, NY)
- …clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding , and documentation will support our mission ... Compliance Auditor- Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and eager to make a meaningful impact? FlexStaff is… more
- Mount Sinai Health System (New York, NY)
- …+ Licensing: None but CPC preferred **Experience requirements:** + 2 years experience in medical billing or health claims with IDX billing systems in a health ... + Posts all payments in IDX using approved methodologies. + May perform specialty coding for services and medical office visits and review physician coding… more
- Mount Sinai Health System (New York, NY)
- … healthcare billing experience required. Familiarity with CPT and ICD ( coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more