- UHS (Binghamton, NY)
- …for hospital inpatient services. This role ensures compliance with official coding guidelines, regulatory requirements, and ethical standards to support proper ... billing, reimbursement, and data integrity. Primary Department, Division, or Unit: Coding Support Services, UHS Revenue Cycle Operations Primary Work Shift: Day… more
- UHS (Binghamton, NY)
- …Inpatient Coder Level 3 is a senior-level position responsible for coding high-complexity inpatient records with accuracy and efficiency. This role requires ... expert-level knowledge of ICD-10-CM and ICD-10-PCS coding systems, MS-DRG and APR-DRG assignment, and comprehensive understanding of clinical documentation. The… more
- Centene Corporation (New York, NY)
- …The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG ... moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. + Ensure medical … more
- Highmark Health (Albany, NY)
- …data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL ... and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- Oracle (Albany, NY)
- …data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in ... records. + In-depth understanding of supporting evidence requirements for accurate coding . + Practical experience using grouper software for MS-DRG and APR-DRG… more
- University of Rochester (Rochester, NY)
- …weekends required + Extensive knowledge and comprehension of ICD-10 and CPT coding , medical terminology, and insurance standards and regulations preferred + ... Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of America) Range: UR… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …authorization information is documented in the appropriate system. Your knowledge of insurance carriers and specific plan details will make you a valuable resource ... for specific service. + Research, handle, and make determination regarding insurance verification escalation issues and/or discrepancies. + Audit, track, and trend… more
- Highmark Health (Albany, NY)
- …clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams to ensure operational guidelines are aligned with ... clinical policy intent. Develop and maintain a thorough understanding of medical coding (ICD-10, CPT, HCPCS) and ensure accurate coding principles are… more
- Guardian Life (New York, NY)
- …Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company committed to enhancing the wellbeing of its customers and their ... customer experience. Guardian created the Data Science Lab (DSL) to reimagine insurance in light of emerging technology, evolving consumer needs, and rapid advances… more
- Mount Sinai Health System (New York, NY)
- …of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving abilities, excellent ... medical records.Must have experience working with Epic. + Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare,… more
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