6 jobs found in Utica

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...

Medical Group Coder I Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based primary care, psychiatric and other non-inpatient surgical providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based and office based guidelines. Assign applicable modifiers, review medical necessity, CCI and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based on knowledge of ICD-10-CM,...

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 related degree or equivalent...

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

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

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...