- 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
- SUNY Upstate Medical University (Syracuse, NY)
- …patient scheduling and throughput. Responsible for ongoing monitoring of changes in insurance and reimbursement requirements inclusive of coding and treatment ... The Authorization Office Manager will be responsible for the day-to-day insurance authorization oversight of both outpatient and inpatient rehab therapy activity… more
- Molina Healthcare (Buffalo, NY)
- …readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated ... chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. + Reviews medically appropriate… more
- Cognizant (Albany, NY)
- …on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation ... physician's office) **Qualifications** + **Experience:** 2-5 years in Hospital-based inpatient coding . + **Current coding credential:** **CCS (AHIMA)** and CPC,… more
- Oracle (Albany, NY)
- …systems to support real-time data processing for analytics platforms. + ** Coding :** Leverages industry best practices to writes correct, secure, maintainable, robust ... + BS or MS degree in Computer Science or relevant technical field involving coding or equivalent practical experience + 8-10 years of total experience in software… more
- Mount Sinai Health System (New York, NY)
- …processes across the entire revenue cycle-including registration, pre-authorization, coding , billing, collections, reimbursement, and financial analysis-to drive ... and reducing denials. ? Expertise in authorization, registration, billing, coding , reimbursement methodologies, and regulatory compliance. ? Deep understanding of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Service staff to ensure claims are billed and/or resubmitted with appropriate coding . Responsible to assist ambulatory departments with coding issues and/or ... Minimum Qualifications: Associates degree and two (2) years relevant patient financial/ insurance services experience in a healthcare related setting or equivalent… more
- MVP Health Care (Rochester, NY)
- …+ Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. + Intermediate knowledge of Health Insurance and ... combination of related experience may also be considered. + Coding certification, such as AAPC CPC, CIC, COC, CCS...minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing… more
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