- FlexStaff (Chappaqua, NY)
- …of clinical records, with a special focus on anesthesia documentation and billing accuracy. Your expertise in medical terminology, combined with proficiency ... services. In this pivotal role, you will leverage your healthcare experience-whether as a healthcare coder or in a similar capacity-to conduct comprehensive audits… more
- Mohawk Valley Health System (Utica, NY)
- …degree in a related field or equivalent work experience. + 2 years of experience as a medical coder , with at least 1 year in a coding audit or educator role. + ... Auditor & Educator - Full Time - Days Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit...compliance with regulatory and payer requirements. + Work with billing , compliance and revenue cycle teams to ensure proper… more
- Trinity Health (Syracuse, NY)
- …ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing . Strong understanding of various medical claim formats. Knowledge of ... **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote. May include every 5th weekend rotation **POSITION PURPOSE** Responsible for… more
- Bristol Myers Squibb (New York, NY)
- …policy, local payer dynamics and coverage policy, complex reimbursement, coding & billing dynamics, and all components of the Cell Therapy ordering and distribution ... and bill therapy reimbursement experience including: + Coverage, coding, billing and payment + Medicare (NCD, IPPS, OPPS, 340B,...payment + Medicare (NCD, IPPS, OPPS, 340B, etc.) + Medical policy, managed care coverage processes and practice for… more
- FlexStaff (Bronx, NY)
- …a healthcare or managed care setting (preferred) + Prior third party insurance billing experience, required. + Knowledge of medical terminology, preferred. + ... other carriers on any claim related matters + Analyzes patient and medical information to identify COB, Worker's Compensation, No-Fault, and Subrogation conditions +… more
- Molina Healthcare (NY)
- …working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... and implementation of the DRG validation program. Responsible for auditing inpatient medical records and generating high quality claims payment to ensure payment… more
- Catholic Health (Kenmore, NY)
- …is consistent, accurate, and meets data integrity for use in billing , reimbursement, clinical outcomes, and for SPARCS reporting. The Educator/Auditor will ... coded data for accuracy based on documentation in the medical record and through these audits will ensure that...are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The Educator/Auditor… more
- Trinity Health (Syracuse, NY)
- …as needed. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE: . Certified Risk Adjustment Coder (CRC) required . Excellent verbal and written communication skills. . ... Excel, Outlook and Teams. . Adept in Electronic Health Records and Professional Billing systems . High School Diploma or GED ESSENTIAL FUNCTIONS: Meets Health… more
- CenterLight Health System (NY)
- …contractual guidelines. This position requires a working knowledge of Government Programs medical claims payment system and configuration with strong focus on data ... could enhance claim workflow and efficiency. + Analyze patient and medical information to identify Coordination of Benefits (COB), Worker's Compensation, No-Fault,… more
- Bassett Healthcare (Stamford, NY)
- …licensure on a regular basis Functions in accordance with department standards for billing of services Provides coder /analyst with timely, accurate, and adequate ... include: Paid time off, including company holidays, vacation, and sick time Medical , dental and vision insurance Life insurance and disability protection Retirement… more