- Molina Healthcare (Buffalo, NY)
- …and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote !! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical ... weekly chart audits for practice providers to optimize accurate documentation and coding . Additionally, all Medical Coders will participate in regularly… more
- Mount Sinai Health System (New York, NY)
- …healthcare financing and managed care. ? Expected to stay updated on current medical billing and coding processes, clinical procedures, and relevant ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will... medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical… more
- Molina Healthcare (Rochester, NY)
- …level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and ... that has a current active unrestricted license This a remote role and can sit anywhere within the United... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION,… more
- Baylor Scott & White Health (Albany, NY)
- …specific rate will depend upon the successful candidate's specific qualifications and prior coding experience. + 100% Remote **Essential Functions of the Role** ... + Reviews and interprets documentation from medical records and completes accurate coding of...charges in the applicable documentation system to generate appropriate coding and billing . + Communicates with providers… more
- Molina Healthcare (Syracuse, NY)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to...programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health… more
- Northwell Health (New Hyde Park, NY)
- …complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. ... standards of data integrity. Job Responsibility 1.Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses,… more
- Trinity Health (East Greenbush, NY)
- … remote 1 day a week. . This Revenue Cycle Analyst is needed for the medical group. Coding and EPIC knowledge not required but a plus. Must have knowledge of ... basis + Identify any problematic charges for further review to correct coding / billing issues + Adhere to productivity/quality guidelines + Communicate… more
- J&J Family of Companies (New City, NY)
- …with both pharmacy and medical /buy & bill benefits (as applicable), coding , and billing . + Reimbursement or relevant managed care experience (revenue ... Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as...Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access… more
- Garnet Health (Harris, NY)
- …Medicaid, and commercial insurance billing and regulations. Proficiency in medical billing software and Electronic Health Record (EHR) systems. Strong ... of extensive experience in revenue cycle, with a focus on hospital inpatient/outpatient billing and coding required. Experience with billing software such… more