- Mohawk Valley Health System (Utica, NY)
- …direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and ... This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities + Assign the applicable HCPCS (HCPCS, CPT,… more
- Mount Sinai Health System (New York, NY)
- …in a health care or insurance environment, and familiarity with ICD/CPT coding + Licensing: None but CPC preferred **Responsibilities** 1. Verifies insurance and ... registration data for scheduled outpatient/ inpatient encounters and scheduled surgeries if applicable; reviews encounter...in IDX using approved methodologies. 5. May perform specialty coding for services and medical office visits and review… more
- Molina Healthcare (Rochester, NY)
- …for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… 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
- Humana (Albany, NY)
- …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing… 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
- 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
- Mount Sinai Health System (New York, NY)
- …in a health care or insurance environment, and familiarity with ICD/CPT coding . + CPC Preferred Non-Bargaining Unit, ARB - Obstetrics And Gynecology Administration ... Verifies insurance and registration data for scheduled office, outpatient, and inpatient encounters and scheduled surgeries; reviews encounter forms for accuracy.… more
- Trinity Health (Albany, NY)
- …Avenue, Albany, NY. Searching for a motivated medical biller for our orthopedics team. Coding a plus but not needed. Insurance knowledge a must. Position reports to ... operation of a medical practice. Medical billing/insurance background a must. Coding not required but a plus. **Responsibilities:** + Responsible to monitor… more
- Datavant (Albany, NY)
- …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the...throughout a patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required… more