- MVP Health Care (Schenectady, NY)
- …with healthcare quality data highly preferred + Subject matter expertise in healthcare data- claims , coding , HIE's etc. Experience with quality metrics, ... #TeamMVP. This is the opportunity for you if you have a passion for healthcare , innovation, and collaboration. **What's in it for you:** + Growth opportunities to… more
- New York State Civil Service (New York, NY)
- …Experience with statistical sampling and/or advanced statistical training.* Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 ... nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to.../ 10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the… more
- Guthrie (Cortland, NY)
- …of health benefit plans and related UM requirements preferred. Experience with CPT/ICD coding , medical record or chart auditing, and experience in utilization ... contractual reimbursement requirements and to assist in ensuring generation of clean claims in a timely manner + Securing authorization as appropriate + Documenting… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... of all Neurosurgey procedures; along with providing guidance on coding and billing. * Assist with managing budget for...agencies, including The Joint Commission on the Accreditation of Healthcare Organizations and New York State and the New… more
- Mohawk Valley Health System (Utica, NY)
- …degree in healthcare related field. + 4 years or more of hospital, medical office, coding or billing experience; or 6 years of experience in other ... of insurance and benefit information for patients receiving inpatient medical , inpatient psychiatric, observation, ambulatory surgery and/or outpatient procedure… more
- CVS Health (Albany, NY)
- …data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding . + Must be able to ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Oracle (Albany, NY)
- **Job Description** Oracle Health Applications & Infrastructure (OHAI) is transforming healthcare by leveraging AI and advanced technologies to deliver automated, ... revenue cycle management capabilities, such as charge capture, contract management and claims generation. As a Senior Member of Technical Staff, you will collaborate… more
- The Cigna Group (New York, NY)
- …lifecycle, including necessary tradeoffs and associated risks + Ability to promote best coding practices, championing a culture of documentation + Ability to own a ... partners to implement solutions with measurable value + Health care data (eg, claims , EHR) knowledge preferred If you will be working at home occasionally or… more
- Cognizant (Albany, NY)
- …teams. **In this role, you will:** . Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. . Analyze denial trends and root ... causes, including National Correct Coding Initiative (NCCI) edits and payer-specific technical policies. . Prepare and submit appeal documentation to address denials… more
- Access: Supports For Living (Middletown, NY)
- …and leadership. Qualifications & Attributes + Minimum5 yearsof experience in healthcare revenue cycle/ medical billing + Minimum5 yearsof progressive supervisory ... and payment processes. + Maintain a clear understanding of claims processing, payer denials, and appeals. + Prepare recurring...experience + Proficient in ICD-10, CPT, and HCPCS coding + Experience with Electronic Health Records (EHR) and… more