- Nuvance Health (Poughkeepsie, NY)
- …the Home Care organizations. *Summary:* Appropriately analyzes and codes complex inpatient records for facility. Position requires high-level expertise in coding ... CM/PCS to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95% * Apply...knowledge of MS DRG and APR DRG assignment, Official Coding guidelines, Comorbidity/complication coding , HAC Conditions, accurate… more
- Mount Sinai Health System (New York, NY)
- …Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits and Payment Posting. ... health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient , and/or outpatient charges with accurate data entry of codes. Ensures… more
- Cardinal Health (Albany, NY)
- …compliance department audits to determine accuracy and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing ... define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS and CCI initiatives, OIG… more
- Molina Healthcare (Buffalo, NY)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review ... appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct … more
- Mount Sinai Health System (Elmhurst, NY)
- …High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion of a certificate course with CPC / ... CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder/AAPC. Ability to use computer. Average dexterity and knowledge of… more
- Mount Sinai Health System (New York, NY)
- …systems in a health care or insurance environment and familiarity with ICD/CPT coding + Licensing: None but CPC preferred Non-Bargaining Unit, C02 - Hewlett ... **Responsibilities** + Verifies insurance and registration data for scheduled outpatient/ inpatient encounters and scheduled surgeries if applicable; reviews encounter… more
- Mount Sinai Health System (New York, NY)
- …an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the ... Meditech (preferred) systems, and collaborate cross-functionally with clinical, financial, coding , and IT teams to ensure accurate and regulatory-compliant charge… more
- Stony Brook University (East Setauket, NY)
- …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. + Process appeals. + Liaise with third...and/or experience using claims scrubber systems. + Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare… more
- Northwell Health (Lake Success, NY)
- …risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. ... in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works… more
- Rochester Regional Health (Rochester, NY)
- …educational classes. + Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures CDI staffs are appropriately educated. + ... for the CDI Team and other healthcare professionals/departments in the use of coding guidelines and proper documentation requirements as it relates to data quality… more