• Clinical Appeals Specialist

    CDPHP (Albany, NY)
    …share these values and invites you to be a part of that experience. The Clinical Appeals Specialist is responsible for adhering to a member/provider appeal ... Using knowledge of clinical nursing and medical practices, the Clinical Appeals Specialist will review medical necessity requests, render determinations… more
    CDPHP (01/24/25)
    - Save Job - Related Jobs - Block Source
  • Claims Coding Specialist

    Whitney Young Health Center (Albany, NY)
    Claims Coding Specialist (Req 100825) Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: ... function; reviews the work of other medical coding and clinical staff to ensure compliance with departmental policies and...accordance with contracts, calling payers on open claims, sending appeals on denied claims and following up on requests… more
    Whitney Young Health Center (11/09/24)
    - Save Job - Related Jobs - Block Source
  • Coder III, Complex Outpatient (Remote)

    Trinity Health (Albany, NY)
    …and references, in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes and Current Procedural ... Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification + The American Medical Association _(AMA_ ) for CPT… more
    Trinity Health (01/16/25)
    - Save Job - Related Jobs - Block Source
  • Ambulatory Medical Records Supervisor

    St. Mary's Healthcare (Amsterdam, NY)
    …audits. + Identifies opportunities to improve quality and support efforts of Clinical Improvement Specialist + Other duties as assigned. Supervisory ... with revenue cycle staff on coding denials management and will assist with appeals as needed. Creates manual entries to capture quality data as needed. Additional… more
    St. Mary's Healthcare (12/17/24)
    - Save Job - Related Jobs - Block Source