- Molina Healthcare (NY)
- …experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.… more
- Molina Healthcare (Albany, NY)
- …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Molina Healthcare (Rochester, NY)
- …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss,… more
- Molina Healthcare (Rochester, NY)
- …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Centene Corporation (Hawthorne, NY)
- …High school diploma or equivalent. 2+ years of pharmacy technician or medical office (ie biller, coder , office assistance, or prior authorization/certification) ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Molina Healthcare (Buffalo, NY)
- …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... a RN with experience with appeals, claims review, and medical coding. **Job Summary** Provides support for medical... medical coding. **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring… more
- Mount Sinai Health System (New York, NY)
- …Technologist and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...is required. Key skills include a strong understanding of medical terminology and patient care, expertise in medical… more
- Molina Healthcare (Buffalo, NY)
- …suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
- Molina Healthcare (Albany, NY)
- …suite/applicable software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal… more
- Datavant (Albany, NY)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more