148 jobs found in New York

Job Description Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations and mitigate compliance risk. Job Responsibility Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding and documentation requirements. Drafts reports detailing coding audit findings. Assists with billing/documentation and regulatory risk assessments. Acts as the internal expert on coding issues to ensure compliance with state and federal regulations. Research, interpret and communicate federal and state laws and guidelines pertaining to Medicare and NYS Medicaid. Completes thorough reviews of governmental coding audits determining potential non-compliance and future compliance risk. Provides general compliance education and support to audit and facility staff involved in coding and billing; focused training based on results of compliance audits...

**THIS POSITION IS A REMOTE ROLE** Job Description Conducts audits of Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal...

Job Description Job Description Professional Ambulance Billing is seeking a highly motivated, energetic Full-Time Medical Biller. This position is Monday-Friday, days. Medical billing experience preferred . Learn More with company provided training. Earn More with industry-leading compensation. Billing Responsibilities: Review ambulance patient care reports and properly build claims with the appropriate charges, ICD10 codes and modifiers – ensuring accuracy and integrity of claims Obtain and verify patient demographic and insurance information Follow-up on unpaid claims timely while working effectively and efficiently Call insurance carriers with payment discrepancies Research and appeal denied claims, complete reviews where necessary Answer all patient and insurance inquiries timely and professionally Investigate credit balances and request refunds/retractions where necessary Work collaboratively with billing team members Strong MS Office and computer...

Job Description Job Description Daniel C Cox, DC PC , one of Western New York's largest Chiropractic groups, which has served the community for over 30 years is seeking an individual who enjoys a fast paced professional, yet family environment to join our Insurance Billing team.   Essential responsibilities: Effectively communicate with staff, patients, and insurance carriers Assist in training front desk staff with each insurance carriers’ differences in copay, deductible allowable and co-insurance amounts. Work on EMR software, ChiroTouch, to send billing, process payments and scan in new patient charts. Attend to any daily correspondence from staff, doctors, patients or insurance carriers received via voicemail or written note/request. Daily check of insurance carrier portals or websites for EOB/EFT’s to process Process insurance carrier authorizations for treatment daily. Verify patient’s insurance information using the carriers portals and websites to ensure...

Job Functions, Duties, Responsibilities and Position Qualifications: Quality is in our DNAis it in yours? You've got a passion for patient care. You're personable, professional, and confident that nobody can find a vein like you. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career. Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. LOCATION: 250 Miller Place, Hicksville, NY 11801 HOURS: 11:59pm-8:30am; Monday - Friday with rotating Saturdays FULL TIME: Benefits Eligible In this role you will: Hires and directs departmental staff in the performance of their job duties. Oversees and maintains departmental programs and resources Utilizes technical skills and abilities to perform laboratory testing Performs other related responsibilities as assigned. Completes special projects as requested such as...

Job Description Seeking RN - BSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Instructs professional staff in code changes, as needed. Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Reports...

Possible $5000 Sign On Bonus for External Hires! Remote Coder positions are available in all states EXCEPT CA and HI Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations. Summary: Appropriately analyzes and codes complex inpatient records for facility. Position requires high-level expertise in coding and documentation guidelines, coding clinics, and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance....

Overview: Certified Coder - Stony Brook Children's Service, UFPC Location: St. James, NY Schedule: Full time Days/Hours: Monday - Friday; 8 AM - 5 PM Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. Responsibilities: SUMMARY: This incumbent is responsible for reviewing and analyzing physicians documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential...

Remote Work Schedule: Tuesday - Saturday/Sunday - Thursday/Full Time Job Description Performs various facilities billing duties. Codes and reports diagnosis, investigates and resolves diagnosis coding issues, and participates in educational activities concerning coding scheme. Assists in the maintenance of client billing records and statistics and the maintenance of cost per test chargebacks; answers questions and resolved billing issues. Job Responsibility Codes and reports diagnoses in accordance with established guidelines; codes requisitions from physician narratives and pathology reports; investigates and resolves diagnosis coding issues; reviews and updates diagnosis codes received from physician offices on patient's records and submits to insurance companies. Acts as a liaison between guidelines and codes; participates in educational activities concerning coding scheme; researches and prepares bills for reimbursement, outpatient, physician offices, and charge...

Job DescriptionJob Title: Certified Medical Coder Location: Mott Haven NY 10451 Pay: $33.00 - $35.00 per hour Shift: Monday - Friday 9:00am - 5:00pm Scheduled Pay: Bi-Weekly Benefits: Health, Dental, Vision, Life Insurance, and Short term disability after 90 days For more information please contact Ashley Kruger Direct Line at 586-710-7947 (Call/ Text) Certified Medical Coder Responsibilities Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder)knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. #ALINE12Job RequirementsFor more information please contact Ashley Kruger Direct Line at 586-710-7947 (Call/ Text) Certified Medical Coder Requirements: High School Diploma / GED Must have RHIT,...

Duties:Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. Outpatient and ED experience. Skills:Three years experience Knowledge of ICD10Education:High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCSMinimum Degree Required:Completed High School (Diploma or GED)

Overview: Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and ICD 10-PCS codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of the director of Health Information Management, accurately code inpatient conditions and procedures as documented in the medical record using ICD-10 Official Guidelines for Coding. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Posting Internally from 9/27-10/7 Responsibilities: - Utilizing all required electronic applications interprets and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including complications and co morbidities. Assigns present on admission (POA) value. All...

Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary-but the perks don't stop there. There are many additional benefits to enjoy, including: Medical, dental and vision benefits Earned time off and paid holidays Paid continuing education time 401(K) retirement planning Short-term disability, life insurance, paid jury duty Access to the largest network of facilities and providers in the country Industry experienced workforce management team Licensure and certification reimbursement At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

We are seeking a Outpatient Coder for an assignment in Bronx New York. A medical coder assigns the correct universal medical alphanumeric code to describe the type of service a patient will receive in a hospital or healthcare facility. They help ensure the codes are applied correctly during the medical billing process, which includes removing the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers.Outpatient care may be provided in a hospital, as well as a walk in clinic, an outpatient surgery center, and doctor s offices. These may be diagnostic tests, treatments, or other types of procedures. At TotalMed, our aim is to be the last company you ever work with.We prove it, too, with the highest compensation, first day medical benefits, a best in industry 401(K) retirement plan, and fiduciary services offered through Creative Planning. You will have low fee, low cost funds such as Vanguard and a variety of other...

Location: Bronx, NY (Hybrid, Office visit once in a month)Duration: Long Term AssignmentDuties:Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. Outpatient and ED experience. Skills:Three years experience Knowledge of ICD10Education:High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS

Job Description Job Description Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations and mitigate compliance risk. Job Responsibility Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding and documentation requirements. Drafts reports detailing coding audit findings. Assists with billing/documentation and regulatory risk assessments. Acts as the internal expert on coding issues to ensure compliance with state and federal regulations. Research, interpret and communicate federal and state laws and guidelines pertaining to Medicare and NYS Medicaid. Completes thorough reviews of governmental coding audits determining potential non-compliance and future compliance risk. Provides general compliance education and support to audit and facility staff involved in coding and billing; focused training based on results of compliance audits and...

Job Description **THIS POSITION IS A REMOTE ROLE** Job Description Conducts audits of Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State...

Job DescriptionJob Description Performs periodic medical record reviews to ensure physician documentation supports complete and accurate coding. Reconciles medical record documentation, coding, claims and reimbursement data to ensure appropriate billing and reimbursement. Provides feedback to physicians and office staff on findings and makes recommendations to coding management for improvement.Job Responsibility Collaborates with coding and compliance staff in the performance of periodic physician medical record reviews. Reconciles medial record documentation, coding, claims, and reimbursement data. Ensures appropriate billing and reimbursement. Collaborates with practice revenue managers to ensure correlation of information on superbills with rendered clinical services. Reviews codes diagnoses and surgical procedures in accordance with established coding and abstracting guidelines as a part of physician medial records review. Makes recommendations for changes and improvements....

Job Description Remote Work Schedule: Tuesday - Saturday/Sunday - Thursday/Full Time Job Description Performs various facilities billing duties. Codes and reports diagnosis, investigates and resolves diagnosis coding issues, and participates in educational activities concerning coding scheme. Assists in the maintenance of client billing records and statistics and the maintenance of cost per test chargebacks; answers questions and resolved billing issues. Job Responsibility Codes and reports diagnoses in accordance with established guidelines; codes requisitions from physician narratives and pathology reports; investigates and resolves diagnosis coding issues; reviews and updates diagnosis codes received from physician offices on patient's records and submits to insurance companies. Acts as a liaison between guidelines and codes; participates in educational activities concerning coding scheme; researches and prepares bills for reimbursement, outpatient, physician...

Job DescriptionJob DescriptionConducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.Job Responsibility Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. Able to communicate effectively with coders and CDI staff. Demonstrates knowledge of coding policy and procedures. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. Reviews potential reassignments; demonstrates accurate and timely review of all reassignments. Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff. Operates under...