- Ellis Medicine (Schenectady, NY)
- …years of out patient coding experience required. + Hospital, physician practice or insurance coding and billing experience required. + Working knowledge of ... the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing , establish and maintain a close working relationship with… more
- Elevance Health (Latham, NY)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Highmark Health (Albany, NY)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- Molina Healthcare (Syracuse, NY)
- …chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
- Trinity Health (Rensselaer, NY)
- …testing in timely fashion with proper documentation. - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral ... prior authorization requirements, eligibility guidelines and documentation requirements. - Communicates insurance decisions to patient. - Conducts follow up calls as… more