- Stony Brook University (Stony Brook, NY)
- Case Manager - Per Diem **Position Summary** At Stony Brook Medicine, a **Care Manager ** is a valuable member of our team, who provides clinical services to our ... our high standard of excellence. **Duties of a Care Manager in the Care Management Department may include the...not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR from the… more
- Mount Sinai Health System (New York, NY)
- …- Surgery - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews ... in continuing education programs to effectively apply ICD-10-CM/PCS, CPT and HCPCS coding guidelines to inpatient and outpatient diagnoses and procedures. +… more
- Blue Matter (New York, NY)
- …planning also spans diverse care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join a startup firm with a dynamic and ... strategies: + Demonstrated subject matter expertise in the areas of US Coverage, Coding , Payment, and Pricing + Experience in / understanding of key market access… 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
- Ellis Medicine (Schenectady, NY)
- …and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding ... chart audits for practice providers to optimize accurate documentation and coding . Additionally, all Medical Coder will participate in regularly scheduled… more
- City of New York (New York, NY)
- …- Assimilate and analyze multiple data sources from emergency department and inpatient hospital admissions data. - Provide support for ongoing surveillance projects, ... involving multiple years of data, data cleaning, such as ensuring consistent coding of variables, preparing datasets for analysis and conducting analyses. -… more
- Mount Sinai Health System (Elmhurst, NY)
- …timely and complaint manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue is captured. **Qualifications** ... 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 /… 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)
- …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