23 jobs found in New York

*Please note that this position is available for freelancers in the US Are you passionate about social issues and aware of the importance of transparency in global supply chains? Are you familiar with international standards regulating manufacturing ethics, worker safety, environmental compliance, and more? Would you like to help us drive real improvement in vulnerable manufacturing locations through effective ethical audit programs? In that case, we want you to join our team as a Social Compliance Auditor! About QIMA QIMA is a leading provider of supply chain compliance solutions, that partners with brands, retailers and importers to secure, manage and optimize their global supply network. QIMA has on the ground presence in 85 countries, combining industry leading experts for onsite inspections, supplier audits and lab testing with a digital platform that brings accuracy, transparency and intelligence for quality and compliance data. The Job...

Location: Albany, NY Category: Healthcare/Administrative Position Type: Full-Time, Permanent Responsibilities Include: Run and work on missing charges, edits, denials list, and process appeals. Posts denials on a timely basis in the billing system Post all payments as a back-up Work daily Accounts Receivable accounts via online work file and/or hard-copy reports; check claim status, re-submit claims and write appeal letters Work credit balance report to ensure adherence to government regulations/guidelines Analyze claims system reports ensuring underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations Maintain working knowledge and currency in third-party payor requirements Responsible for updating the billing system with current-year rates Qualifications: Prior experience with medical billing is required Proficient in MS Office Suite 2+ years of experience in medical...

Job Description DO NOT RESPOND TO THIS AD UNLESS YOU HAVE THE FOLLOWING WORK EXPERIENCE; Enter " Workers' Compensation" and " No Fault" medical billing charges. Post payments, Answer telephones, Schedule patients appointments, verify health insurances, ready patients charts for office hours, collect copay's, deductibles, ETC! Company Description The physician is an orthopedic hand surgeon who has been in practice for well over 30 years. We're located in a very desirable area in beautiful New York City with a staff of 8+ employees. The hours of operation are Monday through Friday, 9:00am to 5:00pm. Company Description The physician is an orthopedic hand surgeon who has been in practice for well over 30 years. We're located in a very desirable area in beautiful New York City with a staff of 8+ employees. The hours of operation are Monday through Friday, 9:00am to 5:00pm.

Job Description General Description: Financial consultation and clarification of Insurance or self-pay information to the patients. Essential Functions: * Verify summary of benefits * Provide financial consultation to new patients: explain and sign new financial contract with new patients or update old financial contracts with return patients * Explain insurance deductible, co-insurance, copayment and patient responsibilities. * Explain self-pay fee schedule and different promotional packages * Daily review of DPS schedules, patient's insurance/financial status and establish schedule when payment/deductible, co-insurance is due, also generate patient statements * Collect procedure payment for S.P patients either on D3, during the monitoring visits (D3-12) or the day before the procedure date (D13), and inform precertification team to start precertification process on Day 3 of the cycle for patients with insurance coverage * Answer all patients or insurance telephone calls and...

Job Description Remote Inpatient Coder Our client, a managed service organization working with academic medical centers, has an exciting opportunity to join their team as a Remote Inpatient Coder. The Remote Inpatient Coder will be part of a team responsible for identifying, solving, and collecting on insurance claims relating to errors caused by poor coding. Responsibilities: · Review medical records and policies to identify the coding errors, correct and submit to the appropriate payer as well as drafting appeals as necessary. Experience Requirements: · AHIMA/AAPC credentialed · 3 years' experience in academic / health system setting · Candidate must have a CCS, RHIT/RHIA Desired Skills: · Familiarity with current LCD/NCD edits

Job Description upper East Side Busy Infertility center is seeking experienced medical biller. Professional and pleasant demeanor. Must have knowledge of medical insurances, CPT/ICD10 coding; patient collections, referrals, and physician credentialing. Experience in a busy medical office a plus, fertility billing knowledge and experience a plus; and good interpersonal skills as well as good communication skills. Full time position only must be available late afternoons and weekends. Great salary +benefits Company Description Infertility private practice with 3 physicians, accepting two insurances only; mostly private and international patients. Company Description Infertility private practice with 3 physicians, accepting two insurances only; mostly private and international patients.

Job Description The Coding Network (TCN) is the country's premier coding and auditing company with over 850 single specialty physician coders and auditors. All of our coders and auditors work remotely from home, set their own hours, and can earn over 20% more than the average AAPC coder or auditor's salary. TCN's Orthopedic division is experiencing unprecedented growth and we need to contract with multiple new coders who can work as few as 15 hours a week. Our E&M division is also looking to add coders with Ortho E&M experience but does not have any immediate needs. All Coder applicants must: * Have a minimum of three (3) years of Orthopedic Surgical Specific Coding * Have an active coding certification (CPC, RHIA, RHIT, RCC) * Live and work in the United States of America * Take and pass TCN's Orthopedic Coding Exam If you meet the following criteria and are willing to test please submit your resume. NOTE: When submitting your resume, we are looking for the total number...

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. We are urgently looking for Rx Claim coders for one of our healthcare client. Multiple positions open 100% REMOTE Must have experience Rx claims experience in most recent project Responsibilities Responsible for adjudicating all CoPay Assist Rx claims electronically. Responsible for adjudicating all Rx claims and billing. Build, maintain, and audit benefits in RxClaim Automated and manual testing using RxClaim Run patient Rx claim to get paid, and contact them for co-pay amount RXCLAIM And...

Job Description Our Client is seeking a Clinical Specialist - Coder that can support clients transitioning to value-based programs and troubleshoots lagging performance by assisting in removing barriers. The Clinical Specialist is a nurse and certified risk adjustment coder. They serve as an advisor and consultant on coding initiatives for internal and external stakeholders. This individual will create and review clinical content related to coding, perform coding audits for select clients, and train clients on accurate and complete coding. Job Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. * Audit accuracy, quality, and consistency of coded data by conducting audits of medical records, practice management systems, billing systems, and computer databases related to Medicare reimbursement. * Serve as a subject matter expert on topics such as CMS risk adjustment coding, Hierarchical...

Job Description Role Summary The Associate Director, Medical Writing, reporting into the Executive Director, Medical Writing and Regulatory Affairs, will work in partnership with cross-functional teams to generate and lead the development of Clinical and Regulatory documents across all LEXEO programs. This role will be responsible for the planning, development, and oversight of study and program level documents with a focus on accuracy, quality, and compliance. This role will assist in oversight of external partners and process development initiatives and will be an integral contributor to the completion of department and corporate objectives. To be successful in this position, candidates will possess a commitment to excellence, a patient- and team-focused mindset, knowledge of ICH and health authority guidance, and demonstrated leadership in operational and strategic aspects of document development. Location Our work culture is a hybrid model with days in the New York City office...

Job Description Risk Adjuster Coder The HCC Risk Adjustment Coder works within the Risk Adjustment Team to review medical records and translate them into risk-adjustable ICD-10 codes. The HCC Risk Adjustment Coder is meticulous and diligent in an attempt to ensure the risk accuracy of each member enrolled in a Centers Plan for Healthy Living's Medicare Plan. Essential Duties and Responsibilities: * Reviews, analyzes and codes diagnostic information located in a member's medical record * Ensures compliance with established ICD-10 coding guidelines and regulations * Compiles educational materials and trains providers regarding proper coding protocols * Participates in quality improvement initiatives * Completes other duties, as assigned Knowledge, Skill Set & Qualifications Required * AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPCH, COC, CIC, or CRC). * 2 years of HCC Risk Adjustment coding experience * Proficiency in Microsoft Excel * A...

Job Description Educational Alliance, a 127 year old New York institution, is a vibrant, dynamic organization serving New Yorkers from all walks of life. We serve everyone regardless of the language they speak, where they come from, or their socioeconomic status. We believe that everyone should have a chance to live a better life and that arts and culture, education, health and wellness, and social services can help lay that foundation. JOB PURPOSE Reporting directly to the Director of Operations and dotted line reporting to Finance, the Biller will perform billing functions for the Center for Recovery and Wellness, primarily the outpatient services. Provide administrative support to the assigned site or program as needed. SCOPE OF INFLUENCE * Collaborates with EA Finance team in A/R functions and is responsible for maintaining claims and receivables reports for all billable services at CRW. * Works closely with the Medical Billing Manager and Millin Billing Team in support of all...

Job Description Job Title: Senior Auditor/Audit Supervisor - Data Quality and Analysis Job Location: Charlotte, NC/ New York, NY/ Pennington, NJ/ Plano, TX/ Wilmington, DE Job Type: Full Time Jpb Description: Responsible for developing and executing an audit program designed to independently validate the completeness and accuracy of data across the enterprise. Typically works on projects of moderate to high complexity that would involve learning, as candidate will be responsible for testing the completeness and accuracy of data from point of origin, to systems of record, through business use by independently querying systems data. Required Skills: * Minimum 2-3+ years of Audit, Risk, Data or other relevant experience * Ability to execute audit test plans within a risk based audit methodology * SQL / SAS Programming capability or other automation experience * Project Management skills including multi-tasking * Information Technology or data experience Interested candidates can send...

Job Description About Humantold We offer compassionate, evidence-based psychotherapy to individuals, families, couples, and groups, covering a diverse range of emotional needs, issues, and communities. Our team of professional therapists are deeply committed to helping people navigate the human experience through compassion and connection. Our Ethos We believe that therapy should be available to all people. We exist to provide people with fresh perspectives, personalized guidance, and affordable solutions to help them overcome unhealthy habits and patterns that inhibit them from living their fullest life. Why Work With Us We are an established private practice with a steady and strong referral base, and a supportive, pleasant working environment. We offer a benefits package that is well-rounded, competitive, and inclusive. The well-being of our team is of the utmost importance to us. We offer employees the counsel of caring supervisors and peers because we believe that this is how...

Schedule: Full timeAvailability: Morning, Afternoon. Age Requirement: Must be 18 years or olderLocation: Rochester, NYAddress: 1500 Brooks AvePay: $81830 - $91298.50 / yearJob Posting: 04/28/2023Job Posting End: 06/23/2023Job ID:R0168417As a Senior Auditor at Wegmans, you will focus on the areas of IT and Compliance, supporting company objectives by advising management on the effectiveness of company systems and controls, and performing regulatory reviews to ensure compliance with applicable laws and regulations. What will I do?Perform technical analysis and testing of operating systems, application systems, security systems and computer operations as well as regulatory compliance reviews to evaluate the efficiency and effectiveness of the internal controls and compliance with applicable laws and regulations.Perform data analysis and testing of application systems data; including database tables and other flat files associated with the system under review.Utilize data mining...

Job Description Salary: $15.00 - $19.50 Grade: 6 The Research Foundation for Mental Hygiene, Inc., at the New York State Psychiatric Institute (NYSPI) is seeking a qualified candidate to fill an hourly Video Microanalysis Coder position. The coder will do second-by-second microanalysis coding of our mother-infant interaction videotapes. This position will code infant vocal affect. This coder is required to be fully reliable in the Beebe method of coding infant vocal affect (see Beebe et al. 2010). A successful candidate must already have achieved a minimum KAPPA of 0.70 in this code. This position requires patience, the ability to tolerate ambiguity, and possession of good staying power. The successful candidate must be fascinated by the intricacies and complexities of the mother-infant exchange, and be calm, patient, and thoughtful. This position will work remotely. For more information on the Beebe method of coding, please click here: Duties and Responsibilities: Duties and...

Responsibilities Partner with Manager to ensure the Medical Claims department and Fund goals are implemented, accurately communicated and achieved Ensure Document Management System (DMS) claims inventory is monitored daily to achieve unit production goals, quality of work, maintains schedules and avoids delays in processing claims Supervise Medical Claims staff in accordance with established departmental procedures, Human Resources guidelines, and provisions of the Collective Bargaining Agreement, as appropriate; monitor and process staff time and attendance via timekeeping system (ADP) Assist staff with policy related questions and review complex cases, by providing guidance and direction during problem solving situations Ensure staff is trained and developed to meet the goals and needs of the department; establish a collaborative team environment; coach Quality Control Reviewers, Processors and Clerks on resolving medical claims Monitor and evaluate employee's...