8 jobs found in Syracuse

Overview Job Summary: Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to appropriate stakeholders (internal and external) to ensure payment for services. Travel : Limited travel may be required. Travel to healthcare providers and to various business and management conferences required. Travel to facilities for periodic training and review. Responsibilities Manages the existing process of medical billing in the specialty pharmacy space to ensure prompt submission and reconciliation of claims from specialty facilities. Collaborate with leadership to enhance and grow the medical billing process for all facilities. Provide timely reporting, feedback, and information to support the business operation and medical billing functions as necessary. Provide insights regarding trends in medical billing to operations team. Follow, create and improve the...

Job Summary: Under the direction of the Director of Medical Staff Services, the Associate Director provides strategic and operational oversight of the Medical Staff onboarding process and assists in supporting the activities of the organized medical staff, including its committees. This role encompasses administrative and medico-legal responsibilities related to medical staff governance and serves as a liaison between senior hospital leadership and the medical staff to foster effective communication and collaboration. The Associate Director assists in ensuring medical staff compliance with all applicable accreditation and regulatory standards, including those set forth by DNV NIAHO, NCQA, CMS, the New York State Department of Health, and internal hospital and departmental policies. Responsibilities include administrative support for clinical competency evaluations, regulatory documentation, and medical staff functions. The Associate Director attends medical staff meetings as...

Job Description Job Description INTRODUCTION Company Overview: This position is available with Upstate HomeCare, a BioMatrix company. BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing...

Coding Specialist Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. Pay Range: $28.70 - $41.70 Scheduled Weekly Hours: 40 Position Overview Assigns codes accurately to diagnoses and procedures within the medical record to comply with federal and state regulations. Sequences codes...

Certified Medical Coder (Professional Review Specialist I) The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote role. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications...

US Healthcare Medical Biller for Athena - WFH/Remote Job Location: Remote (Philippines-based) Employment Type: Full-time, Mid-level Are you an experienced Medical Biller with a strong command of the Athena platform? Do you thrive in a remote work environment and are looking for a role where your expertise directly impacts healthcare revenue cycles? Neolytix is looking for a dedicated Athena Medical Biller to join our growing team! At Neolytix, we specialize in comprehensive revenue cycle management, helping healthcare providers maximize reimbursements and maintain compliance. We pride ourselves on our commitment to efficiency, accuracy, and client satisfaction. If you're passionate about medical billing and ready to contribute to a dynamic, diverse team, we want to hear from you! What You'll Do: As an Athena Medical Biller, you will be a crucial part of our operations, ensuring seamless financial processes for our US healthcare clients. Your responsibilities will include:...

Medical Coding Auditor UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a remote, full-time, day shift opening located in Albuquerque, New Mexico. This position requires extensive knowledge and experience with E/M coding. $2,000 Sign-on Bonus Minimum $56,173 - Midpoint $70,217* Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing conforms with legal and regulatory requirements. Trains, instructs and provides technical support...

Scheduled Hours 40 Position Summary Reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Assists coders and IBC staff with medical terminology and policy interpretation as required Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions...