- SUNY Upstate Medical University (Syracuse, NY)
- …Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional ... coding and billing audits. Duties/Responsibilities: Analysis of ...Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year… more
- Nuvance Health (Hyde Park, NY)
- …well-being of our patients and each other's success. *Summary:* * The Insurance Reimbursement Specialist is responsible for coordination and support of initiatives ... relative to the evaluation, processing, and handling of insurance verification/authorizations and patient benefits. Acts as a liaison between the insurance … 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. ... & IDX billing systems in a health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient, and/or...the providers bill, to make sure the providers a coding optimally. 3. Collaborate with other coders and provide… more
- Philadelphia Insurance Companies (New York, NY)
- …Group companies in the United States, including Tokio Marine America, First Insurance Company of Hawaii, and Philadelphia Insurance Companies. Customer service ... Job Functions: + Support TMHD actuarial governance procedures for insurance liabilities. This could include assisting in the preparation...a global team + Proficient in one or more coding language(s) eg R and/or Python + Demonstrates curiosity… more
- WMCHealth (Valhalla, NY)
- …and consulting relationships. The position is accountable for physician coding audits, hospital inpatient and outpatient auditing activities, proactive monitoring ... Compliance Program requirements + OIG Compliance Program Guidance + CMS billing, coding , and documentation standards + Develop and maintain a risk-based annual audit… more
- Intermountain Health (Albany, NY)
- …system-wide initiative levels. + Monitors for positive or negative trends in coding , charge capture and/or editing processes to improve teams' performance. + ... regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits and evaluates system...Analysis + Healthcare Regulations + Process improvement + Health Insurance + CMS + Problem solving + Data Mining… more
- Highmark Health (Albany, NY)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ... 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
- Mount Sinai Health System (New York, NY)
- …health claims, with experience in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding + Licensing: None but ... I is responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable, Charge Entry, Edits and… more
- Northwell Health (New Hyde Park, NY)
- …needs and requirements. + Ensures development of entire dashboard life cycle including coding , unit testing, bug fixes and report design. + Operates under general ... required. Job Preferences: + Healthcare experience, specifically in health insurance (commercial) preferred + Claims experience, understanding claims reimbursement/payment… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals, correct insurance demographic information and medical necessity pertaining to ... documentation and coding . Will interact with referring physicians, patients, hospital and...internal audits and maintain all documentation. Review and analyze insurance denials, identifying problem areas and recommending and coordinating… more