- 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
- 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
- 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...using claims scrubber system. **Preferred Qualifications** + Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Job Summary: The DRG Validator will be responsible for coding reviews for the purpose of coding and DRG optimization. Must have ... thorough knowledge of medical terminology, ICD codes and coding guidelines. Strong oral and written communications skills is...have a minimum of 5 years' experience specializing in inpatient . Education: Bachelor's degree in a health related field,… more
- General Physicians PC (Dunkirk, NY)
- …located in Dunkirk, NY. The successful PA/NP will provide clinical support to inpatient adult patients on the night shift with the ongoing readily available support ... assume and provide or arrange for all reasonably necessary inpatient medical care services and treatment to each patient...services and tests. . Ensure the proper documentation and coding of medical records through self-education and work with… more
- Ellis Medicine (Schenectady, NY)
- …will be responsible for achieving accurate and timely accounting of all Inpatient and Outpatient accounts receivable as set by policies and procedures. Responsible ... medical terminology and billing requirements, CPT, HCPCS and ICD-9 coding and be able to apply such coding...for achieving accurate and timely accounting of all assigned Inpatient and Outpatient accounts receivable as set by policies… more
- Humana (Albany, NY)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Humana (Albany, NY)
- …participation in care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
- Crouse Hospital (Syracuse, NY)
- …valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and outreach ... Crouse Health offers a full range of general and specialty care, inpatient and outpatient services and community health education and outreach programs Crouse's… more
- Trinity Health (Albany, NY)
- …from home. No nights no weekends. Medical billing/insurance background a must. Coding not required but a plus. **Responsibilities:** + Responsible to monitor and ... + Identify any problematic charges for further review to correct coding /billing issues + Adhere to productivity/quality guidelines + Communicate effectively and… more
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