- Daiichi Sankyo, Inc. (Bernards, NJ)
- …data cleaning, external data transfers, SAE reconciliation, local lab data processing, medical coding , report specification review , study files management)- ... Protocol, Clinical Monitoring Plan, Statistical Analysis Plan, SAE Flow Plan, Medical - Management/ Medical Data Review Plan, Lab Plan, Randomization (IXRS)… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... handles project. This position prepares trainings, supports CAPA investigations, case review , documentation reviews in collaboration with the ICSR management and… more
- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Perform clinical/ coding medical claim review to ensure compliance with ... coding practices through a comprehensive review and analysis of medical claims, ...directives, precedent, AMA and CMS code edit criterion + Review medical records to ensure billing is… more
- Atlantic Health System (Morristown, NJ)
- …College a plus * Work Experience in the business of healthcare which includes: Medical Terminology and Coding and billing experience #LI-AW1 At Atlantic Health ... Responsible for coding quality audits of all records (outpatient, inpatient,...codes and professional fee services performed by providers from medical records according to ICD-10, CPT, HCPCS, and CMS… more
- TEKsystems (New York, NY)
- …Information Technologist (RHIT) preferred Experience: Minimum of 5 years of experience in medical coding auditing and/or coding education within a healthcare ... Medical Biller - Remote + Key Responsibilities: +...and ensure accurate coding and compliance. + Coding Logic Review and Audit within EPIC:...coding and compliance. + Coding Logic Review and Audit within EPIC: + Review … more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding ... mix and health care statistical reporting. **Qualifications** **Education Requirements** Coding certificate, CCA. CCS (inpatient) or CCS-P (outpatient) certification… more
- Mount Sinai Health System (New York, NY)
- …EPIC EMR system + Strong clinical and analytical skills to evaluate appropriate Medical Record Coding + Currently credentialed as CPC and/or CCS certifications ... findings with Director and staff for performance improvement. + Review accounts in various WQs to identify coding...maintain on-going coding educational sessions that address coding edits from various depts., medical necessity… more
- Mount Sinai Health System (New York, NY)
- …We seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization ... and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC) or equivalent credential… more
- Elevance Health (Woodbridge, NJ)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
- RWJBarnabas Health (West Orange, NJ)
- …ICD-I0-CM/PCS proficiency required. + Extensive knowledge of ICD-10-CM/PCS and CPT coding , medical terminology, human anatomy and physiology, clinical indicators ... Regulations and Compliance Guidelines. + Critically analyzes each Managed Medicare inpatient medical record to apply appropriate coding , DRG judgements, SOI, ROM… more
- Weill Cornell Medical College (New York, NY)
- …and coding denials prevention. **Job Responsibilities** + Performs retrospective coding and documentation review of denied charges for physician services. ... status and billing guidelines to substantiate corrected claim submissions, written appeals, coding and medical necessity reviews. + Researches and interprets… more
- Mount Sinai Health System (New York, NY)
- …documentation issues, develop targeted provider education, and create best practices for medical record review and diagnosis code abstraction. The incumbent will ... to determine, analyze and solve escalated issues related to medical record documentation and coding deficiencies required....evaluates documentation and query tools with CDQI staff and medical care teams. Conducts annual review of… more
- Weill Cornell Medical College (New York, NY)
- …range for this role when Hired for NYC Offices **Position Summary** Performs coding activities and is responsible for reviewing medical records for ... to ensure claims are being coded appropriately. + Performs coding and documentation review prior to charge... prior to charge entry for physician services. Reviews medical record and super-bill documentation for completeness and accuracy… more
- New York State Civil Service (New York, NY)
- …and/or advanced statistical training.* Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9/10, DRGs) and/or experience analyzing ... software, such as PowerPoint.Preferred skills/experience: * The ability to review financial records and advise or assist in the...needed, please include a cover page to provide the reviewer with any relevant context or background information. *… more
- Molina Healthcare (New York, NY)
- …policies, CPT guidelines, internal policies, and contract requirements. This position completes a medical review to facilitate a referral to law enforcement or ... **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving...and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip,… more
- Mount Sinai Health System (New York, NY)
- …GED required. Associate degree preferred. + 1-2 years of experience in medical practice/outpatient coding /payment/charge posting preferred. + Excel, Typing and ... data and ensure proper reimbursement for services provided and in compliance with coding , payment rules and regulations. **Qualifications** + High School Diploma or… more
- Atlantic Health System (Morristown, NJ)
- …Training and Certification within six months of hire; additional certifications in medical billing and coding preferred. + Proficient in platforms including ... pre-certification requirements for requested services. + Billing and Follow-Up: Review and correct claims with errors, follow up with...Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical … more
- Mount Sinai Health System (New York, NY)
- …Medical Records - USD, Union Square - Downtown **Responsibilities** + Thoroughly review , analyze, and interpret the entire medical record (electronic and ... encoder, and institutional coding policies + Alerts the Coding Manager when the medical record documentation requires further clarification + Use 3M 360… more
- Mount Sinai Health System (New York, NY)
- …Roosevelt - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews ... I is responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable, Charge Entry, Edits and… more
- Atlantic Health System (Summit, NJ)
- … guidelines and reimbursement reporting requirements *Works with their assigned Lead to review coding questions and engage in coder feedback sessions; attends ... to accurately reflect the patient's encounter. *Reviews CDI concurrent review notes and works with the CDI Team to...medical record is inadequate, ambiguous or unclear for coding purposes *Completes coding of all discharges/encounters… more
