- 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
- 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
- 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
- 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
- Molina Healthcare (Yonkers, 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