- CVS Health (Albany, NY)
- …skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical coding , and regulatory frameworks. + Excellent ... and coding practices, verifying document authenticity, and identifying false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data… more
- Mount Sinai Health System (New York, NY)
- …related to Federal, State and local laws and regulations, third party coding , billing and claims submission, financial arrangements with physicians, conflicts ... institutions Compliance Program. Responsible for assigned clinical departments in the Medical Center. **Qualifications** + Bachelors degree preferred. + 5 years… more
- Robert Half Accountemps (Forest Hills, NY)
- …* Prepare and process billing statements and invoices with precision. * Handle claims processing for Medicaid and healthcare -related billing. * Investigate and ... in billing or a related role. * Proficiency in healthcare billing, including Medicaid claims . * Strong...understanding of billing functions and processes. * Familiarity with coding invoices and claims . * Ability to… more
- MVP Health Care (Fishkill, NY)
- …and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical coding , and analytical thinking and this is the opportunity for you. ... degree with the equivalent combination of related experience may also be considered. + Coding certification, such as AAPC CPC, CIC, COC, CCS is required. + The… more
- JPMorgan Chase (New York, NY)
- …compiling, manipulating, and synthesizing large quantities of health-related data - including medical and pharmacy claims , survey data, and biometrics. You will ... specific experience in a payer, provider, or research setting that actively used medical and pharmaceutical claims data, including standard groupers, common data… more
- Catholic Health Services (Smithtown, NY)
- …care center; 296-bed not-for-profit community hospital and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to ... purposes, including Minimum Data Set (MDS) assessments and other relevant documentation. + Coding and Billing: Assist in the accurate coding and billing of… more
- Stony Brook University (East Setauket, NY)
- …including experience in validating the configuration and build of contracts. + Medical Coding Certification through the American Academy of Professional Coders ... from healthcare decision support, patient accounting, contract management and/or claims scrubber systems. + Proficiency with SAP Business Objects / Crystal… more
- Mount Sinai Health System (New York, NY)
- …in clinical, revenue cycle & encounter data models. + Extensive knowledge of healthcare / medical data such as hospital/physician claims , utilization data, and ... as well as proficiency in data analysis, financial management, healthcare coding , and understanding of regulatory requirements....Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely...and Federal Mandates. + May be responsible for pricing, coding , researching claims to ensure accurate application… more
- Catholic Health Services (Greenvale, NY)
- …(HIPAA). + Billing and Insurance: Assist with billing processes, including insurance verification, coding , and processing claims . Follow up on unpaid claims ... degree or higher preferred). + Previous experience in a medical office or healthcare setting preferred. +...Previous experience in a medical office or healthcare setting preferred. + Strong organizational and multitasking abilities.… more