- WMCHealth (Valhalla, NY)
- …Certifications: Certified Professional Coder (CPC) or Certified Professional Coder -Hospital (CPC-H), preferred. Other: Familiarity with medical record ... accounts to ensure accurate and complete charge capture and accurate, timely billing . The incumbent establishes and maintains a library of rule, regulations,… more
- Nuvance Health (Poughkeepsie, NY)
- *Description* *Summary:* This position will partner with all Nuvance Health Medical Practices to identify opportunity, and support revenue recovery initiatives and ... edits 2. Serve as a subject matter expert related to charging and billing issues, and assists in developing and maintaining related policies, procedures, and work… more
- Mount Sinai Health System (New York, NY)
- …and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential ... seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the… more
- Highmark Health (Albany, NY)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Catholic Health Services (Melville, NY)
- …resulting in effective auditing and education to assigned services/departments, coding and billing teams. It also requires a broad exposure and knowledge of the ... and metrics chosen to demonstrate success of the plan. Collaborates with medical staff to develop and implement education training associated with new technologies,… 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
- Elevance Health (Latham, NY)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- CVS Health (Albany, NY)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for… more
- Humana (Albany, NY)
- …field. + Healthcare insurance industry knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is ... Manager, you will spearhead audit and validation processes to ensure medical documentation and coding are precise, compliant, and support optimal reimbursement.… more
- Bassett Healthcare (Sidney, 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