- Callen-Lorde Community Health Center (New York, NY)
- MANAGER OF BILLING ( CPC ) Job Details Job Location Corporate/Administrative Office - Chelsea - New York, NY Secondary Job Location(s) Callen-Lorde Community ... Role TheManager of Billingworks directly with the Director of Billing Operations to oversee all billing , reconciliation,...Bachelor's in Finance, Accounting, or related field preferred. + CPC , CCS, or CBCS certification. + 5+ years' medical… more
- Elevance Health (Woodbridge, NJ)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for...Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates working in person… more
- Mount Sinai Health System (New York, NY)
- …to review Accounts Receivable and current billing concerns. + Mentors less experienced Billing staff and assists Billing Manager /FPA Manager in ... school diploma/GED plus 3 years of relevant experience + CPC Preferred + Training in computerized medical billing + 3 years experience in medical billing … more
- Mount Sinai Health System (New York, NY)
- …and collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . *Please note that this is ... strong familiarity with ICD/CPT coding + Licensing: None but CPC strongly preferred (required in Oncology) Non-Bargaining Unit, R45...current billing concerns. + Mentors less experienced billing staff and assists Billing Manager… more
- Cardinal Health (Trenton, NJ)
- …supervises and manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation of… more
- Mount Sinai Health System (New York, NY)
- …Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical role in testing, coding, modeling, and ... reporting on Hospital Billing (HB) and Professional Billing (PB) contracts...Administration, or a related field. + Additional certifications (eg, CPC , CCS, or related healthcare coding certifications) are a… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent and abusive ... practices. The Manager , Fraud and Waste works within specific guidelines and...adjudication, where appropriate. Monitors/Leads investigations to ensuring appropriateness of billing practices using a variety of investigational tools. Prepares… more
- Deloitte (Morristown, NJ)
- …worth clients + Collaborate with client engagement leaders to address budgeting, billing , management, and engagement team deployment. + Be responsible for the ... + Certified Employee Benefits Specialist (CEBS) + Certified Pension Consultant ( CPC ) + Certified Payroll Professional (CPP) + Project Management Professional (PMP)… more
- Publicis Groupe (New York, NY)
- … cycle, including invoice tracking, buy actualization in Prisma, and compiling draft billing for manager approval + Responsible for resolving all billing ... needs/objectives. The Senior Analyst will work closely with their manager in the development and communication of all search...of all core search metric calculations and relationships (eg CPC , CPA, CTR, SOV, weighted averages) + Serve as… more
- Elevance Health (Woodbridge, NJ)
- …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. +… more
- Highmark Health (Trenton, NJ)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more