- Trinity Health (Syracuse, NY)
- …if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing clinical ... for Medicare and Medicaid Services (CMS). Excellus contract specific RA Coding Specialist job primary functions: . Working and managing a specific patient population… more
- FlexStaff (Bronx, NY)
- **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and community-based ... healthcare and services for the elderly. The Claims Specialist will support department operations related to provider communication, pended claim review, reporting,… more
- FlexStaff (Bronx, NY)
- …a healthcare or managed care setting (preferred) + Prior third party insurance billing experience, required. + Knowledge of medical terminology, preferred. + ... **Req Number** 154447 FlexStaff is seeking a Claims Specialist to support department operations related to provider...on any claim related matters + Analyzes patient and medical information to identify COB, Worker's Compensation, No-Fault, and… 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
- University of Rochester (Albany, NY)
- …from American Academy of Professional Coders upon hire required or + Certified Medical Coder (CMC) from the Practice upon hire required Preferred: Demonstrated ... assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert...working knowledge of the professional billing software applications. Active medical coding credential… more
- Highmark Health (Albany, NY)
- …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional … more
- 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
- 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. + ... train diverse audiences. Licensure/Certification Requirements REQUIRED: + CPC (Certified Professional Coder ), or CCS (Certified Coding Specialist ), or equivalent… 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 ... Association** Active and unrestricted Registered Nurse (RN) license and Certified Coding Specialist (CCS), (CIC), Certified Professional Coder (CPC) License in… more
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