- Abbott (New York, NY)
- …and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist I, CPT - New York** **PLEASE NOTE: This ... **The Opportunity** Our team is actively pipelining talented professionals for a forthcoming ** Clinical Specialist I, CPT ** **in** **New York** . As a member… more
- Healthfirst (NY)
- …and Responsibilities: + Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, ... Termination, and Suspension of services. The end to end process requires the Specialist to independently: + Research issues + Quality of Care Experience + Reference… more
- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The clinical support specialist (CSS) provides administrative support to clinical staff ... take prior to logging and routing requests for authorization to the appropriate clinical reviewer. CSS reviews clinical documentation and determines at times… more
- Kaleida Health (Buffalo, NY)
- **Coding Specialist ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description **Summary:** ... The coding specialist is responsible for coding, including, but not limited...of Diseases 10th revision (ICD 10) and Procedures (PCS, CPT ). Interacts with the medical staff on issues requiring… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The FPA Facility Fee Coding Specialist reviews clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 CM ... and CPT - 4 codes for billing, internal and external...ICD-10-CM Official Guidelines for Coding and Reporting and AMA CPT Guidelines. Provides information and direction relevant to coding… more
- 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: ... order to reduce denied claims. Maintains education on coding requirements for ICD-10, CPT , HCPCS, ADA, and FQHC specific coding rules, including revenue and rate… more
- Glens Falls Hospital (Glens Falls, NY)
- …Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, medical billing, ... * Prepare and compile necessary documentation to secure prior authorization.Collect clinical information regarding service to be rendered as applicable (as well… more
- Glens Falls Hospital (Glens Falls, NY)
- …Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, medical billing, ... Prepare and compile necessary documentation to secure prior authorization. . Collect clinical information regarding service to be rendered as applicable (as well as… more
- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR - Coding Medicine Work Days: Weekly Hours: 35.00 Exemption Status: ... and resolve coding related insurance payment denials. The CBO partners with WCM Clinical Departments to increase and expedite service revenue, reduce aged AR, and… more
- Mount Sinai Health System (New York, NY)
- …issues for department physicians. + Reviews and distributes coding-related information to clinical staff, including CPT and ICD-10/10 code changes, medical ... **Job Description** The Procedural Billing Specialist III is a senior level individual, responsible...a health care or insurance environment, and familiarity with CPT / ICD-10/10 coding, preferably in specialized and complex surgical… more
- Weill Cornell Medical College (New York, NY)
- Title: Lead Breast Imaging Specialist Location: Lower East Side Org Unit: 53 Beekman St, Cellar and Sub-Cellar Work Days: Weekly Hours: 35.00 Exemption Status: ... Hired for NYC Offices **Position Summary** Under supervision, the Lead Breast Imaging Specialist is responsible for the follow-up for all breast biopsy and recall… more
- Catholic Health Services (Melville, NY)
- …was named Long Island's Top Workplace! Job Details The CHSLI Revenue Integrity Specialist works within the CHSLI Revenue Cycle Department under the direction of the ... Responsible for educating and working with the specialty area clinical departments on compliant charging in relation to the...on EPIC Charge capture and reconciliation tool improvements. Review CPT /HCPCS codes and completes research of any item in… more
- Mount Sinai Health System (New York, NY)
- …Assistant)-Thyroid Institute-Mount Sinai Union Square-Full Time-Days/Saturdays** The Medical Office Specialist offers clinical and medical office support to ... terminology; able to complete visit encounter forms and enters ICD10-CM and CPT information into computerized systems as appropriate + Assists in training,… more
- St. Mary's Healthcare (Amsterdam, NY)
- …information from patient records. Assigns the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology ( CPT ) or ... protective equipment as required. Required Credential(s): * Certified Coding Specialist (CCS) credentialed from the American Health Information Management… more
- Mount Sinai Health System (New York, NY)
- …and coding modifications. + Reviews and distributes coding related information to clinical staff, including CPT and ICD-9 code changes, medical necessity ... + Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation. + Compares and reviews charge tickets, both manually and… more
- Mount Sinai Health System (New York, NY)
- …inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and ... procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting. Duties and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …demographic information, specimens, etc. Resolve problems related to specimen receiving, CPT and ICD-9/10 coding, billing modifiers and laboratory reports. Interact ... with Clinical and Anatomical Pathology departments and assist in resolving provider/patient issues. Function as a competent, personable source of lab information for… more
- VNS Health (Bronx, NY)
- …as necessary to achieve quality outcomes. + Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to ... counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, … more
- Molina Healthcare (Syracuse, NY)
- …records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
- WMCHealth (Valhalla, NY)
- …realized + Researches and communicates appropriate treatment of charges to clinical managers, CDM Specialist (coordinator), other customers. + Participates ... Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non- Clinical Department: Revenue Integrity Union: No Position: Full Time… more