- MTA (Jamaica, NY)
- …customer satisfaction by investigating customer and political inquiries or complaints, claims , legal inquiries either written or verbal and prepare appropriate ... possess prior experience drafting responses and/or correspondence to inquiries, claims , complaints, etc. + NY State Fundamentals of Engineering...A record of more than ten sick days without medical documentation in two of the last three years… more
- RxBenefits (New York, NY)
- …at the intersection of healthcare and technology-translating clinical logic, medical guidelines, and business rules into actionable intelligence across patient ... and claims data. Candidates with experience in PBM pricing, ...work environment_ + _Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for… more
- CUNY (New York, NY)
- …**POSITION DETAILS** The CUNY School of Medicine (CUNY MED) is the only medical school in the City University of New York system. Our innovative curriculum ... with physician supervision. Our mission is 1) to provide access to medical education to talented youth from historically underrepresented in backgrounds in medicine… more
- WMCHealth (Kingston, NY)
- …Applicant link Job Details: Coordinates the orderly processing of all third party claims in accordance with the policies and procedures of the nursing home and ... accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing in a… more
- Excelsior Orthopaedics Group (Amherst, NY)
- Job Summary We are seeking a detail-oriented and experienced Medical Coder to join our Ambulatory Surgery Center (ASC) team. This role is responsible for accurately ... coding regulations. + Manage billing functions for surgical procedures, including claim creation, submission, and follow-up for payment resolution. + Communicate… more
- Mount Sinai Health System (New York, NY)
- …in health system documentation system. 2. Data analysis: such as payer data and claim 3. Support the pharmacist to implement the patient's care plan, such as ... into criteria-based pharmacy programs and document in the electronic medical record using established formats in a timely and...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Catholic Health Services (Melville, NY)
- …by the specialty and other chronic conditions that are addressed as part of medical decision making and the treatment plan + Assesses E/M level and identifies ... opportunities to reflect patient acuity and complexity to support medical decision making + Addresses instances where the ...in data analytics and from clinical encounter reviews and post- claim education chart reviews + Develops and maintains a… more
- Mount Sinai Health System (Elmhurst, NY)
- …issues that may cause charge lag. 8. Assist with clean up projects for Claim Edit holds are placed for providers pending certification with Medicaid for electronic ... Sinai Health System is one of the largest academic medical systems in the New York metro area, with...safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by… more
- Stony Brook University (Commack, NY)
- …of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding. Compile and communicate ... + Work in collaboration with the Patient Financial Services Department on claim corrections. + Special projects assignments related to coding. + Code, abstract… more
- Garnet Health (Middletown, NY)
- …a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical Center. Responsibilities Under the direction of The Administrator, Coding & Clinical ... department. The Manager ensures that reviews of the patient's medical data are conducted to assess appropriateness and ...compelling, factual arguments when warranted to the third-parties denying claim . Join the Garnet Health team and let your… more