- DXC Technology (Albany, NY)
- …and tested REST APIs and GraphQL endpoints + Establish and enforce coding standards, test coverage requirements, and architectural best practices + Develop ... documentation for APIs, services, and architectural decisions + Implement secure coding practices and ensure the platform meets security requirements + Design… more
- Mount Sinai Health System (New York, NY)
- …health claims, with experience in billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding ** + Certification: CPC preferred ... RTC Finance - MSH, Mount Sinai Hospital **Responsibilities** + Verifies insurance and registration data for scheduled outpatient/inpatient encounters and scheduled… more
- AbbVie (Buffalo, NY)
- …regarding national/regional payor policies to educate providers on payer issues, coding changes, and appropriate claims submission processes + Liaise with AbbVie's ... of the technical payer policy processes, systems and requirements for coverage, coding , and payment for specialty medicines + Demonstrated understanding of the… more
- Stony Brook University (Commack, NY)
- …setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. Knowledge of medical terminology, ICD-10 and CPT ... coding . Experience with Electronic Medical Records (EMR). Experience with...WTCHP program billed in error, program billed as secondary insurance , out of network providers billed in error. +… more
- Highmark Health (Albany, NY)
- …relevant, dissemination and support of gap closures for STARS and improved coding for government populations. Identification of process improvement gaps in workflow ... improvement and cost savings outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each… more
- SUNY Upstate Medical University (Syracuse, NY)
- …both internal and external departments. Responsibilities include daily duties involving coding errors in Epic Work queues, contacting clinics and outside customers ... etc. Resolve problems related to specimen receiving, CPT and ICD-9/10 coding , billing modifiers and laboratory reports. Interact with Clinical and Anatomical… more
- Cognizant (Albany, NY)
- …and regulatory guidelines. + Perform Peer Reviews of Company Health Information Management coding auditors and coders. + Maintain minimum accuracy rate of 98% while ... by management. Qualifications: + 2+ years of experience in facility based inpatient coding . + Credentials: CCS, RHIT, RHIA (AHIMA) or CPC, CPC-H (AAPC) + Level… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …You Can Make* Attention all clerical and administrative professionals with a background in insurance ! The CR Wood Cancer Center is looking to help you advance your ... at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This...prior authorization * Gather additional clinical and / or coding information as necessary in order to obtain prior… more
- Glens Falls Hospital (Glens Falls, NY)
- …Make* * * Attention all clerical and administrative professionals with a background in insurance ! The CR Wood Cancer Center is looking to help you advance your ... at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This...prior authorization . Gather additional clinical and / or coding information as necessary in order to obtain prior… more
- Ellis Medicine (Schenectady, NY)
- …data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. EDUCATION AND EXPERIENCE REQUIREMENTS: + Education: High ... medical terminology and billing requirements, CPT, HCPCS and ICD-9 coding and be able to apply such coding...accurate. + Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with… more