4 jobs found in Utica

A healthcare provider in the United States is seeking a skilled Revenue Integrity Outpatient Coder Level II to ensure accurate coding of outpatient services. The ideal candidate will have at least 3 years of coding experience in a hospital setting, along with AHIMA certification. Key responsibilities include reviewing medical records, maintaining compliance, and collaborating with healthcare teams. Strong analytical skills and attention to detail are essential for this role, providing an opportunity to enhance revenue cycle performance. #J-18808-Ljbffr

Inpatient CODER II Department: CODING Job Summary: The Medical Records Coder II 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 Performs other duties as required Education/Experience Requirements: REQUIRED: AS in Health Information Management, a related degree or equivalent experience 1 year of experience as an inpatient coder. Knowledge of EMR, Coding Software, and Microsoft Office...

Job Summary Oneida Health is actively searching for a skilled Revenue Integrity Outpatient Coder Level II to join our dynamic team. The successful candidate will play a crucial role in ensuring accurate and compliant coding of outpatient services, optimizing revenue capture, and maintaining regulatory compliance. Job Title Outpatient Coder Level II Key Responsibilities Review outpatient services (primarily surgical, emergency, oncology, and wound care) medical records to assign appropriate CPT, HCPCS, and ICD-10 codes. Ensure accuracy and completeness of coded information for billing and reimbursement purposes. Stay updated on coding guidelines, regulations, and compliance requirements related to outpatient services. Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation if necessary. Work closely with the Revenue Integrity team to identify and address coding-related issues affecting revenue...

Insurance Claims Processor Under the supervision of the Business Office Manager, is responsible for the timely submission of claims as well as accurate follow-up of claims submitted to the assigned insurance payers. Responsible for notifying governmental payers of all overpayments per federal guidelines. Will assist the provider office(s) with any requested benefit verifications. Will keep current of all assigned payer newsletters and bulletins. Duties and responsibilities include: Ensuring the timely filing of insurance claims through the use of the claim edit work queue as well the follow-up 277 payer rejection work queue. Following up of insurance claims through the use of payer websites, portals, and other mechanisms as directed by management. General knowledge of payer rules and contract guidelines and billing procedures in order to accomplish follow-up activity. Keeping current on all assigned payer newsletters and bulletins for medical or administrative policy...