Catholic Health System

  • Buffalo, NY, United States
Catholic Health System
Catholic Health System Buffalo, NY
Facility: Mercy Hospital of Buffalo Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: CWA Local 1133 Exempt from Overtime: Exempt: No Work Schedule: Days Hours: 7:00am-3:00pm Summary: Codes hospital Ambulatory, ER / Urgent Care, Interventional Radiology and Local Surgery records for the purpose of accurate reimbursement, research and compliance with federal regulations. Diagnoses and procedures are coded through review of the entire medical record, utilizing International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and Current Procedure Terminology (CPT) classifications. Queries physician for further clarification when there is uncertainty in the documentation of the medical record. Analyzes and reviews records for completeness. Responsibilities: EDUCATION B.S. in Health Information Management or AAS in Health Information Technology or Certification as an RHIA or RHIT. Certified Coding Specialist (CCS) is preferred. Would...

Catholic Health System Buffalo, NY
Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1.0 Bargaining Unit: ACE Associates Exempt from Overtime: Yes Work Schedule: Days Hours: 7-4, 8-4 flexible Job Summary Under the direction of the Manager/Director of Revenue Integrity, including oversight from System revenue cycle leadership, the Revenue Integrity Coder of Infusion Services will be responsible for optimization of charge capture, charge review, appropriate documentation and work queue edits for all infusion services, specifically Oncology and Chemotherapy. This position serves as the primary contact/resource for Patient Financial Services, Revenue Integrity and Infusion Clinical Staff. The position requires advanced knowledge of Oncology, Chemotherapy, and Infusion drug requirements of various insurance providers as well as federal billing rules, Medicare and Medicaid. The incumbent actively participates as needed in both external third‑party audits and internal audits and...

Catholic Health System Buffalo, NY
Catholic Health is seeking a Revenue Integrity Coder for Infusion Services to optimize charge capture and ensure accurate documentation for oncology and chemotherapy services. The role supports Patient Financial Services, Revenue Integrity and Infusion Clinical staff, with focus on CPT/HCPCS coding, denial resolution and audit participation. The incumbent will monitor insurer policy changes, provide data-driven improvements, and assist with appeals and reporting to reduce financial risk across #J-18808-Ljbffr

Catholic Health System Buffalo, NY
Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: ACE Associates Exempt from Overtime: No Work Schedule: Days Hours: 7:00am - 3:00pm Summary Codes primarily acute hospital inpatient, SNF, Rehab, for the purpose of accurate reimbursement, research and compliance with federal regulations. Coding of Ambulatory, ER / Urgent Care, Interventional Radiology and same day surgery records is performed on an as needed basis. Diagnoses and procedures are coded through review of the entire medical record, utilizing International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) classifications. Queries physician for further clarification when there is uncertainty in the documentation of the medical record. Analyzes and reviews records for completeness. Actively participates as a member of the Clinical Documentation Improvement Team (CDI Team) as outlined in...