- Mount Sinai Health System (New York, NY)
- …We seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization ... 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC)...is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude,… more
- Intermountain Health (Albany, NY)
- …charges submitted, all charges/ coding are aligned with procedure performed, and charges/ coding are consistent with Federal , State, and payer guidelines. 9. ... the RI leadership team. Proactively seeks out positive or negative trends in charge/ coding capture and editing processes to facilitate the sharing of best practice… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- CVS Health (Albany, NY)
- …Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... the ability to obtain a NJ License. In the Medical Director role you will provide oversight for ...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … reviews and inquiries. + Makes accurate and consistent interpretation of integral medical policy, contract benefits and State and Federal Mandates and maintains ... you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- CVS Health (Amherst, NY)
- …follow through on escalations and urgent requests. They must possess an analytical system coding ability to translate plan benefits into system data coding . The ... partners. + Ability to utilize Meritain's proprietary system for analytical coding of detailed customized plans rather than standard offerings. + Participate… more
- Fresenius Medical Center (Brooklyn, NY)
- …**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans** ... **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here is your opportunity to...as regulations set forth by the corporation, state, and federal agencies. + Delegates tasks to all direct patient… more