What’s Upstate

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...

A regulatory compliance position located in the Town of Oneonta, NY, is seeking an individual to assist in audits, conduct investigations, and ensure compliance with regulatory standards. The role requires a Bachelor’s Degree or relevant experience, with two to five years in a related field. Key responsibilities include quality assurance, internal audits, and supporting regulatory training. $21 to $23 per hour based on experience and education. Flexible scheduling is essential. #J-18808-Ljbffr