- Humana (Albany, NY)
- …us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and ... programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately complex to… 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
- CVS Health (Albany, NY)
- …with heart, each and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit ... and reimbursement. **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years...Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of… more
- Northwell Health (Lake Success, NY)
- …more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCSP) ... assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete...or Certified Inpatient Coder (CIC) or Certified Outpatient … more
- WMCHealth (Valhalla, NY)
- Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/31159) Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing… more
- Mount Sinai Health System (New York, NY)
- …education and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent ... **Job Description** ** Senior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days (REMOTE)** We...Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and… more
- Oak Orchard Health (Brockport, NY)
- …experience working with coding and billing, required. + Certified Medical Billing Specialist/ Medical Coder highly preferred. Comprehensive Benefits: ... knowing that your work is making a difference in someone's life. We have 8 medical offices located in communities throughout Western NY and we continue to expand and… more
- Mount Sinai Health System (New York, NY)
- …Technologist and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...billing and reimbursement. This position will report to the Senior Director. This role will serve as a crucial… more
- CVS Health (Albany, NY)
- …travel approximately 10% of time for business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Knowledge of CVS/Aetna's ... in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU),… more
- Molina Healthcare (Albany, NY)
- …Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key deliverables, ... source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of...License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all… more