- Centene Corporation (New York, NY)
- …and outlier payment review. + Analyze moderately complex health care information; reviews medical records ; integrate medical coding and reimbursement rules; ... provide pricing guidance. + Ensure medical coding rules and regulations including compliance requirements are...by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA… more
- Catholic Health (Buffalo, NY)
- …WORKING CONDITIONS: + Individual works in a hybrid office setting utilizing medical records , computers, electronic encoders, and reference books to assign ... (ICD-10-CM) and Current Procedure Terminology (CPT) classifications. Mentor Junior Medical Coders as necessary. Responsibilities: EDUCATION + Active coding… more
- Datavant (Albany, NY)
- …procedural codes using ICD-10-CM and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records , ensuring precision and adherence to ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...a Level I Trauma Center, preferably within an academic medical facility. + Experience with significant level of coding… more
- Northwell Health (New Hyde Park, NY)
- …standards of data integrity. Job Responsibility 1.Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, ... documentation ambiguities, resolve coding discrepancies, and ensure accurate and complete medical records . 10.Acts as a coding resource for other members of the… more
- Molina Healthcare (Albany, NY)
- …of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement ... medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and associated records by applying advanced clinical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …performance review + Non-care manager support staff duties may include: + Requesting medical records + Faxing materials + Mailing of educational materials + ... years of experience working in an insurance company or medical care setting and active Certified Professional Coder... medical care setting and active Certified Professional Coder (CPC) credential. + Demonstrates a thorough knowledge and… more
- Ellis Medicine (Schenectady, NY)
- …Professional Coder (CPC) + Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards. Skilled experience and knowledge of Windows ... The Supervisor, Medical Coding - Outpatient is responsible for the...individuals and entities, and safeguards the integrity of electronic records + Will participate in standing cross-functional workgroups to… more
- Ideal Home Care (Islandia, NY)
- Job description Position Overview: We are seeking an experienced and dedicated Medical Billing and Coding Instructor to join our academic team. The ideal candidate ... delivering high-quality education and training to students in the field of medical billing and coding. This role involves preparing students for certification exams,… more
- SUNY Westchester Community College (Yonkers, NY)
- …in entry-level positions such as medical coder /biller, medical biller/customer service representative, medical records clerk/assistant, and ... the workforce. RESPONSIBILITIES: Seeking energetic and engaging Adjunct Faculty to teach Medical Billing and Coding classes. The incumbent will deliver a curriculum… more
- CVS Health (Albany, NY)
- …and every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes ... all State and Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations… more