4 jobs found in New Hyde Park

Job DescriptionJob Description Performs periodic medical record reviews to ensure physician documentation supports complete and accurate coding. Reconciles medical record documentation, coding, claims and reimbursement data to ensure appropriate billing and reimbursement. Provides feedback to physicians and office staff on findings and makes recommendations to coding management for improvement.Job Responsibility Collaborates with coding and compliance staff in the performance of periodic physician medical record reviews. Reconciles medial record documentation, coding, claims, and reimbursement data. Ensures appropriate billing and reimbursement. Collaborates with practice revenue managers to ensure correlation of information on superbills with rendered clinical services. Reviews codes diagnoses and surgical procedures in accordance with established coding and abstracting guidelines as a part of physician medial records review. Makes recommendations for changes and improvements....

Job Description Remote Work Schedule: Tuesday - Saturday/Sunday - Thursday/Full Time Job Description Performs various facilities billing duties. Codes and reports diagnosis, investigates and resolves diagnosis coding issues, and participates in educational activities concerning coding scheme. Assists in the maintenance of client billing records and statistics and the maintenance of cost per test chargebacks; answers questions and resolved billing issues. Job Responsibility Codes and reports diagnoses in accordance with established guidelines; codes requisitions from physician narratives and pathology reports; investigates and resolves diagnosis coding issues; reviews and updates diagnosis codes received from physician offices on patient's records and submits to insurance companies. Acts as a liaison between guidelines and codes; participates in educational activities concerning coding scheme; researches and prepares bills for reimbursement, outpatient, physician...

Job DescriptionJob DescriptionConducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.Job Responsibility Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. Able to communicate effectively with coders and CDI staff. Demonstrates knowledge of coding policy and procedures. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff. Operates under...

Job DescriptionJob Description Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations and mitigate compliance risk.Job Responsibility Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding and documentation requirements. Drafts reports detailing coding audit findings. Assists with billing/documentation and regulatory risk assessments. Acts as the internal expert on coding issues to ensure compliance with state and federal regulations. Research, interpret and communicate federal and state laws and guidelines pertaining to Medicare and NYS Medicaid. Completes thorough reviews of governmental coding audits determining potential non-compliance and future compliance risk. Provides general compliance education and support to audit and facility staff involved in coding and billing; focused training based on results of compliance audits and...