9 jobs found in Utica

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 Requirements Starting Pay Rate: $20.00 hourly Join our team and help keep healthcare running smoothly behind the scenes! As our Revenue Cycle Specialist, you'll play a vital role in ensuring accurate billing, timely collections, and seamless coordination with third-party payers; making a meaningful impact on both our patients and our organization. What you will do as a Revenue Cycle Specialist: Submits claims to Third Party Billing vendors for third party and government insurances. Posts payments received from third party and government insurances. Reviews Clearinghouse for clean claim submission. Applies necessary payment adjustments as they apply to Health Center patients/clients. Follows-up on outstanding claims for payments. Works with insurance companies on behalf of the clients regarding billing and insurance issues. Reviews claim submission status report and makes any necessary changes or corrections. Maintains an accurate year to date log of the number of claims...

Medical Records - Coder I - Full Time - DaysDepartment: CODINGJob 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 payerAudit charges and establish proper coding in collaboration with providersInitiate and follow up on queries with providersAssist departments with diagnostic and procedural codingRespond to Insurance, compliance and RAC denialsReview and assist in the maintenance of coding related policies and proceduresPerform other duties as requiredEducation/Experience Requirements:REQUIRED:AS in Health Information Management, a related degree or equivalent experienceKnowledge of EMR, Coding Software,...

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 Knowledge/understanding of modifiers, medical...

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 related degree or equivalent experience Knowledge of EMR, Coding Software, and Microsoft Office...

What’s Upstate in Utica, NY is seeking a Medical Records Coder I under the direction of the CDI/Coding Director to improve documentation, data quality and revenue cycle operations. The coder assigns ICD-10-CM/PCS codes according to guidelines and payer requirements. The role requires collaborating with providers on queries, conducting audits, and supporting departments with diagnostic coding to ensure compliant billing and timely reimbursements. #J-18808-Ljbffr

What’s Upstate is seeking an A/R Biller to process inpatient and outpatient accounts to payors promptly and accurately. Experience billing Medicare, Medicaid, commercial insurance, HMOs, and workers’ compensation is required. ICD-9/10 coding knowledge and medical terminology are a plus. The role requires 2 years of billing experience in a medical setting and familiarity with office equipment. Pay range is $19.64–$26.44 per hour. This is a full-time, on-site position based in Utica, NY. #J-18808-Ljbffr

A/R Biller - Full Time - Days Department: ACCTS RECEIVABLE & COLLECTION Job Summary The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker's Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus. Core Job Responsibilities Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary to resolve outstanding issue on claims. Determines whether payment from insurance billed is accurate, based on DRG, Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding...

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...