3 jobs found in Utica

Overview Join to apply for the Revenue Cycle Manager role at GWAVA at our Ambulatory Surgery Center. We are seeking a highly skilled and experienced Revenue Cycle Manager to oversee all aspects of revenue cycle operations. The ideal candidate will bring a strong background in coding, billing, collections, and dispute resolution, with the ability to manage a team and optimize financial performance. Responsibilities Lead and manage the revenue cycle team, ensuring efficiency and compliance across all processes. Oversee end-to-end revenue cycle operations, including patient registration, coding, billing, collections, payment posting, and denial management. Ensure accurate coding and billing practices in compliance with federal, state, and payer-specific requirements. Manage surgical physician and facility billing, including implants and accessories. Oversee both in-network and out-of-network billing processes. Naviagte and manage federal and state Independent Dispute...

Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign the appropriate DRG based on an analysis of the patient file and medical necessity Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Abstract data elements and compile data for statistical reports Provide education based on recognized trends, including physician documentation Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and...

Medical Records - Coder I - Full Time - Days Department: CODING Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a...