6 jobs found in New Hyde Park

Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines. Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if...

Company Overview Our client is a rapidly growing revenue cycle management organization that partners with healthcare providers nationwide to deliver specialized billing, reimbursement, and revenue recovery solutions. As the organization continues to expand, they are seeking experienced medical billing professionals who thrive in a collaborative, quality-driven environment and want to be part of a growing team. Position Summary: The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for...

Out-of-Network Authorization Specialist The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patients insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key responsibilities include: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for out-of-network coverage. Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements. Track and document authorization status in the EMR and billing systems. Work closely with billing and collections teams to resolve denied claims and appeals. Stay current with payer-specific guidelines and regulatory changes affecting out-of-network...

Job Description ** Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm** Job Description: Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility: Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/...

Job Description Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all...

Job Description FlexStaff is seeking a Certified Professional Coder with anesthesia and/or surgical coding experience for a client-a medical administration practice-located in Westchester, NY . Qualifications Current CPC (AAPC) or CCS (AHIMA) certification required 2+ years of professional anesthesia and/or surgical coding experience Strong knowledge of anatomy, physiology, medical terminology, and coding guidelines Experience with EPIC preferred Position Summary You will review clinical documentation and accurately assign CPT and ICD-10 codes for anesthesia services. Schedule Hybrid: 3 days onsite / 2 days remote Hours: Monday-Thursday: 8:30 AM-4:30 PM Friday: 8:00 AM-4:00 PM 1-hour paid lunch Key Responsibilities Review handwritten and electronic anesthesia records to determine procedures and diagnoses Assign accurate CPT and ICD-10 codes in accordance with current guidelines Post charges and...