- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... of Professional Medical Conduct Office of Professional Medical Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for… more
- Trinity Health (Syracuse, NY)
- …updates prior to procedure, and supporting authorization and denial processes. ** EDUCATION , TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified Coding ... analyzes, and interprets complex medical information, applying specific knowledge of coding requirements and conventions to correctly classify, code and abstract… 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
- Catholic Health (Buffalo, NY)
- …sections of the revenue cycle: + Patient Access + Health Information Management + Coding and Coding Education + Inpatient, Outpatient and Ambulatory Clinical ... Catholic Health Home and Community Based Care + Trinity Medical, WNY Responsibilities: EDUCATION + Bachelor's Degree required + Master's Degree in a Finance or… more
- Trinity Health (Syracuse, NY)
- …utilization of health care services with the goal of maintaining high- quality cost-effective care. Works collaboratively with staff to obtain information from ... authorization of medical services and procedures. Collaborates on system-wide quality improvement/performance improvement.Initiates and ensures authorizations for all admissions… more
- Mount Sinai Health System (New York, NY)
- …revenue cycle performance and identify trends related to denials, underpayments, and coding variances. + Lead and participate in multidisciplinary revenue ... knowledge of professional charging, billing, physician fee schedules, Epic workflows and quality reporting measures. This position will report to the Director of the… more
- Trinity Health (Albany, NY)
- …basis + Identify any problematic charges for further review to correct coding /billing issues + Adhere to productivity/ quality guidelines + Communicate ... for a motivated medical biller for our orthopedics team. Coding a plus but not needed. Insurance knowledge a...work for home day a week. **Position Highlights:** + Quality of Life: Where career opportunities and quality… more
- Mount Sinai Health System (New York, NY)
- …stakeholders, technology teams, and revenue cycle leadership. This role will lead the design, implementation, and long-term success of an enterprise revenue ... as well as proficiency in data analysis, financial management, healthcare coding , and understanding of regulatory requirements. + Certification in Epic Clarity… more
- Highmark Health (Albany, NY)
- …May mentor less experienced team members. **ESSENTIAL RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing more ... and making a big impact for those we serve. This job takes the lead in providing more complex application development services typically as part of a project… more
- Wells Fargo (New York, NY)
- …technologies + Do hands-on coding and software development to create high- quality , scalable applications + Lead technical design discussions and provide ... who thrives in high-performance, front-to-back delivery environments. As a hands-on Tech Lead , you will spearhead the design and development of BookBuilder systems… more