- 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
- Northwell Health (Lake Success, NY)
- …for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent ... of illness and risk of mortality (if applicable), as documented in the medical record. 5.Codes and reports diagnoses and their associated present on Admission (POA)… more
- BronxCare Health System (Bronx, NY)
- …and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including ... patient disposition upon patient's discharge. - Exhibits a high degree of accuracy. Coder sequences the diagnosis and procedures using ICD-10CM and CPT-4 codes in… more
- Northwell Health (New Hyde Park, NY)
- …with 1-2 onsite days. Job Description Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with ... medical directors and staff to enhance the quality of...care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters.… 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
- Molina Healthcare (Yonkers, NY)
- …experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.… 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 ... 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss,… 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 ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Molina Healthcare (Yonkers, NY)
- …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... a RN with experience with appeals, claims review, and medical coding. **Job Summary** Provides support for medical... medical coding. **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring… 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)
- …suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… 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
- 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
- Molina Healthcare (Yonkers, NY)
- …for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and ... medical records to document relevant findings of a post...registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree… 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