- STG International (Watertown, NY)
- …in the computer before advancing to the next exam. * Supports CPT coding compliance; utilizes appropriate CPT codes for the exams performed. Ensures images are ... to patients or their families. Patients will be referred to their requesting physician for results and treatment planning. * Ensures modesty and comfort is observed… more
- Trinity Health (Albany, NY)
- …Provides general information to hospital users, patients, families & physician offices. **Essential Functions** Our Trinity Health Culture: Knows, understands, ... to have)** Medical terminology required & knowledge of diagnostic & procedural coding Insurance verification with the ability to explain benefits, secure necessary… more
- University of Rochester (Rochester, NY)
- …professional billing system necessary to ensure balance resolution for all assigned URMFG physician services. 25% + Follows up on denied accounts through review of ... current on changes in billing requirements associated with claim processing and coding . 5% + Escalate issues that may prevent completion of responsibilities to… more
- CDPHP (Latham, NY)
- …for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality ... (2) years Utilization Management experience is preferred. + Knowledge of coding /claims processing is preferred. + Experience working with Microsoft Office, including… more
- Adecco US, Inc. (New York, NY)
- …In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver ... **Reimbursement Support (20%)** - Assist offices with claims, billing and coding , appeals, medical benefit interpretation, and co-pay or patient assistance programs.… more
- Mount Sinai Health System (New York, NY)
- …2 years healthcare billing experience required. Familiarity with CPT and ICD ( coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. ... May process refunds for supervisory approval. 9. Prepares and submits referring physician updates and other major dictionary requests to supervisor for approval. 10.… more
- Kaleida Health (Buffalo, NY)
- …facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments and ... accreditation guidelines, financial principals, reimbursement methodologies, coverage issues, documentation, coding conventions and insurance / managed care practices including… more
- Humana (Albany, NY)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Humana (Albany, NY)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- WMCHealth (Valhalla, NY)
- …Education: Required Clinical Experience as a Nurse, Nurse Practitioner, or Physician Assistant with a Licensure in NY: (Master's preferred, Bachelor's required) ... process changes. Knowledge and understanding of ICD 10 and AIS coding . Knowledge and experience with performance improvement processes, evaluation, needs for… more