- Rochester Regional Health (Rochester, NY)
- …RESPONSIBILITIES: + Revenue Management. Ensure competitive pricing, appropriate reimbursement and compliance with governmental billing regulations; manage the ... activities including preparation for negotiation, implementation and analysis of reimbursement performance REQUIRED QUALIFICATIONS: + Bachelor's Degree in Business,… more
- Catholic Health (Buffalo, NY)
- …Radiology and Local Surgery records for the purpose of accurate reimbursement , research and compliance with federal regulations. Diagnoses and procedures are ... an RHIA or RHIT. Certified Coding Specialist (CCS) is preferred . Would also consider an RHIA or RHIT eligible...software and reference books to assign codes for accurate reimbursement + Travel is required for float positions +… more
- Catholic Health (Buffalo, NY)
- …primarily acute hospital inpatient, SNF, Rehab, for the purpose of accurate reimbursement , research and compliance with federal regulations. Coding of Ambulatory, ER ... an RHIA or RHIT. Certified Coding Specialist (CCS) is preferred . Would also consider an RHIA or RHIT eligible...software and reference books to assign codes for accurate reimbursement + Travel is required for float positions +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …writing and oral communications. Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards. Familiarity ... experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required. Preferred Qualifications: Bachelors Degree; Coding and auditing experience preferred .… more
- Evolent (Albany, NY)
- …Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred :** + Bachelor's degree, preferably with a quantitative major (eg ... advanced/ statistical analysis, and data manipulation + Familiarity with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes, CPT… more
- Molina Healthcare (Albany, NY)
- …monitor pair mix. + Experience with Medicaid contract analytics is highly preferred . + Experience working on Managed care analytics and healthcare reimbursement ... + Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools ** Preferred Education** Bachelor's Degree in Finance, Economics, Math, Accounting or related… more
- Ally (Albany, NY)
- …Associate/Bachelor's/MBA degree in Business, Finance, Economics, Mathematics or Statistics preferred . * Minimum of 3+ years' experience in fraud ... in area of specialization-CFE (Certified Fraud Examiner Certification) or equivalent-strongly preferred . * Should have knowledge of auto and bank fraud investigative… more
- Highmark Health (Albany, NY)
- …job supports the design & execution of the company's value-based reimbursement strategy. This includes developing and maintaining our development lifecycle, managing ... as determined by the company in lieu of bachelor's degree ** Preferred ** + Master's Degree in Business Administration/Management, Health Administration or Public… more
- Molina Healthcare (Albany, NY)
- …meet deadlines and needs of user community. + GA Medicaid claims/ reimbursement / coding experience is highly preferred **JOB QUALIFICATIONS** **Required ... combination of education and experience **Required Experience** 2-5 years ** Preferred Education** Bachelor's Degree or equivalent combination of education and… more
- Centene Corporation (New York, NY)
- …on technology. Knowledge of data integration, software enhancements/planning and Agile preferred . Experience with authorization data highly preferred . Pay Range: ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
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