- J&J Family of Companies (New York, NY)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... Care, Commercial). + Execute business in accordance with the highest ethical, legal , and compliance standards, including timely and successful completion of all… more
- GE HealthCare (NY)
- …as ensuring excellent delivery and implementation of contracts, warranty claims , repair/service agreements, spare parts sales, training, installation support, field ... different functions such as sales, operations, quality, regulatory affairs, finance, legal , procurement, logistics, etc., to ensure alignment and optimal results are… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Duties and Responsibilities + Audits accuracy of ICD-10-CM diagnosis codes on all claims prior to submission. + Audits accuracy of HCPCS and CPT codes on ... federal and state regulatory bodies. + Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. +… more
- WTW (New York, NY)
- …management, pricing and funding strategies, data analytics, valuation support, and legal compliance and governance strategies. We also provide specialty consulting ... management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy… more
- City of New York (New York, NY)
- …and Covid-19 curfew enforcement, as well as class actions on various constitutional claims . The hired attorney for these positions will handle a caseload from ... would be a part of a team that provides legal counsel to NYPD in connection with the continued...list of the names and contact information for three professional references as one document under "resume" to apply.… more
- City of New York (New York, NY)
- …management team, the attorney interne will be expected to conduct various types of legal work as in-house counsels, including but not limited to: 1) review and ... revise professional , construction, and design-build contract documents and communicate contract...design divisions; 2) perform litigation support activities and commercial claims analysis for matters pending with the NYC Law… more
- Lincoln Financial (Albany, NY)
- …74854 **The Role at a Glance** We are seeking a strategic and detailed-oriented professional to join our Total Rewards team to lead critical components of our ... * Ensure compliance with applicable regulations such as IRC 409A and coordinate with legal , tax advisors and third-party administrator as needed. * Serve as a member… more
- Highmark Health (Albany, NY)
- …acute care hospital or health insurance setting + 1 year in professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
- New York Racing Association (NY)
- …reconciliation process in collaboration with benefits team; + Partner with legal counsel to conduct effective, thorough and objective investigations when necessary ... company, State and Federal guidelines. Provide timely responses to unemployment claims , including backup documentation. Work with different business units to… more
- Highmark Health (Albany, NY)
- …+ High school diploma / GED + Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) + AHIMA ... Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional… more