- University of Rochester (Rochester, NY)
- …**ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through ... medical record documentation as per designated workflow. Completes system...make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …outside the Medicare Rate. This position includes payment reconciling for Community Care medical claims submitted for payment due to outsourcing of treatment for ... Summary The incumbent serves as the Advanced Medical Support Assistant, Care in the Community for...delivery model. Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- Residence Counselor/ Medical Coordinator Type of Position Full time Search Location(s) Brooklyn, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=4861) Job Brief Assists in obtaining medical care for assigned individuals and maintains appropriate documentation… more
- Molina Healthcare (NY)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates...by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...problem and initiatives corrective action through reviews of electronic medical records. + Works to confer with external agencies.… more
- Cognizant (Albany, NY)
- …teams. **In this role, you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based on ... **Cardiovascular Medical Coder** We strive to provide flexibility wherever...working with various departments to prevent future denials. + Review documentation to code diagnosis and procedures specific to… more
- University of Rochester (Rochester, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder III functions as an advanced coder in the abstraction ... and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and ...thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign… more
- WSP USA (New York, NY)
- …+ Review schedule concepts, including baseline and monthly schedule updates + Review claims and related analysis and assist with response letters to ... work, contract durations and phasing. + Utilize the computer program Primavera/Expedition. + Review and analysis of claims , time extensions, and impact on costs.… more
- University of Rochester (Rochester, NY)
- …advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in ... and manipulates database. Responds to or clarifies internal requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems… more
- Citigroup (Getzville, NY)
- …& Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market ... in the timely investigation, and resolution of Interbank / Corporate Compensation Claims . The candidate will need to effectively interact with the front office,… more