- Mount Sinai Health System (New York, NY)
- …revenue. **Qualifications** + Associates Degree or HS Diploma/GED plus two years of related medical coding experience + Four years of experience in medical ... to clinical staff, including CPT and ICD-9 code changes, medical necessity policies, coding /billing information regarding...Participates in education programs to maintain up to date coding skills. 16. Participates with the Compliance … more
- Nuvance Health (Poughkeepsie, NY)
- …* Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance . * Fulfills all ... knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance . *Responsibilities:* * Perform ICD-10- CM/PCS to maintain an...* Minimum Experience of 5 years * Training in medical terminology, ICD-10-CM, CPT procedure and E/M coding… more
- Mount Sinai Health System (New York, NY)
- …the attending physician's description and the information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical ... the physician documentation for specificity, completeness and quality to support coding accuracy, and to identify physician query opportunities to improve the… more
- Mount Sinai Health System (New York, NY)
- …Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and ... a **Senior Contract Manager Analyst** will play a critical role in testing, coding , modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB)… more
- Antech Diagnostics (New York, NY)
- …Security Engineer will be responsible for defining, implementing and enforcing secure coding practices to ensure that software security is embedded early on ... the design and implementation of information security requirements, including secure coding standards, language-specific secure coding guidelines, as well as… more
- Weill Cornell Medical College (New York, NY)
- Title: Medical Secretary Location: Upper East Side Org Unit: Human Capital Administration Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt ... administrative (research and academic) and clinical/surgical schedules. + Processes medical record requests for provider(s), according to institutional and … more
- Molina Healthcare (Buffalo, NY)
- …required, + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required ... Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience** 10+ years To all current Molina employees: If you… more
- Trinity Health (Albany, NY)
- …education to providers and coders. They work to improve documentation quality, identify coding discrepancies, and ensure compliance with regulations as well as ... A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits… more
- Evolent (Albany, NY)
- …to support prior authorization and financial scope reconciliations, ensuring accuracy and compliance . + Conduct ongoing surveillance of coding updates from ... health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs....part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Mount Sinai Health System (Elmhurst, NY)
- …or acquired through the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by ... **Job Description** Review Medical charts and documentation within but not limited...and complaint manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue… more