- LaSante Health Center (Brooklyn, NY)
- Medical Coder LaSante Health Center is seeking a detail-oriented in-person Medical Coder to ensure accurate coding and abstraction of patient encounters. ... supports revenue cycle integrity Qualifications: + Experience necessary + Must be a Certified Medical Coder , CPC / CPC-A + Must be capable of working in a fast… more
- Centene Corporation (New York, NY)
- …outlier payment review. + Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide ... pricing guidance. + Ensure medical coding rules and regulations including compliance requirements are...requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide… more
- SUNY Westchester Community College (Yonkers, NY)
- …students to qualify for for employment in entry-level positions such as medical coder /biller, medical biller/customer service representative, medical ... the workforce. RESPONSIBILITIES: Seeking energetic and engaging Adjunct Faculty to teach Medical Billing and Coding classes. The incumbent will deliver a curriculum… more
- Hackensack Meridian Health (Glen Ridge, NJ)
- …and serve as a leader of positive change. The **Billing Coordinator / Coder ** is responsible for coordinating the day-to-day billing operations of the department and ... the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following… more
- Mount Sinai Health System (New York, NY)
- …and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential ... experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Molina Healthcare (Yonkers, NY)
- …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Mount Sinai Health System (New York, NY)
- …Technologist and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...is required. Key skills include a strong understanding of medical terminology and patient care, expertise in medical… more
- Molina Healthcare (Yonkers, NY)
- …Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified ... Professional in Healthcare Management (CPHM) and/or other health care certification/licensure. If licensed, license must be active and unrestricted in state of practice. To all current Molina employees: If you are interested in applying for this position,… more
- Molina Healthcare (Yonkers, NY)
- …suite/applicable software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal… more
- Mount Sinai Health System (New York, NY)
- …Degree or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, with ... methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding and provide...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Weill Cornell Medical College (New York, NY)
- …combination of education and experience may be considered. + Minimum 5+ years of medical coding experience. + At least 3+ years of auditing experience, with a strong ... data visualization tools. **Licenses and Certifications** + Certified Professional Coder (CPC) or equivalent required **Working Conditions/Physical Demands** Cornell… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …Administrator (RHIA); Certified Coding Specialist (CCS); or Certified Professional Coder (CPC) Certification. + Certified Professional Medical Auditor ... (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description speaks directly to your… more
- Elevance Health (Morristown, NJ)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is responsible for ... auditing inpatient medical records on claims paid based on Diagnostic Relation...a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires… more
- Mount Sinai Health System (Elmhurst, NY)
- **Job Description** Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a ... acquired through the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion… more
- Mount Sinai Health System (New York, NY)
- …response, and corrective action planning. - Manage performance metrics including DNFB, coder productivity, and denial rates. Compliance & Quality - Ensure adherence ... Sinai Health System is one of the largest academic medical systems in the New York metro area, with...safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by… more
- Elevance Health (Woodbridge, NJ)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
- Molina Healthcare (Yonkers, NY)
- …supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all ... Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams...be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you… more
- Ankura (New York, NY)
- …Specific experience with RADV Audit responses including managing the collection of medical records, overseeing the selection of records and submitting the records to ... knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work in California,… more
- MUFG (New York, NY)
- …This is an excellent position if you are an intermediate scripter or coder , appreciate streamlining and automating processes, and looking to enhance your skillset ... age, ancestry, marital status, protected veteran and military status, disability, medical condition, sexual orientation, genetic information, or any other status of… more