Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) Capital District Physicians' Health Plan IncPayment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required)Binghamton, NYMinimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems.
Primary Care Coder NY United Health ServicesPrimary Care CoderBinghamton, New YorkUnited Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. United Health Services (UHS) is seeking a Primary Care Coder to accurately assign ICD-10, CPT, and applicable modifier codes to patient health information across a variety of outpatient and clinical practice settings.
Clinical Documentation Integrity (CDI) Specialist Cayuga Health SystemClinical Documentation Integrity (CDI) SpecialistIthaca, NYFull timeJob DescriptionJob Title: CDI Specialist Department: Clinical Resource ManagementReports To: System Manager of CDI, System Senior Director of Care TransitionsJob Summary: The CDI specialist proactively collaborates with physicians, nursing, caregivers, Health Information Management, coding and billing to improve the quality and completeness of documentation of care provided. Assesses clinical documentation to ensure documentation reflects the level of service rendered and severity of illness in compliance with governmental and payer requirements for all patientsConducts follow-up evaluation of clinical documentation to ensure issues discussed and clarified with the provider have been appropriately recorded in the patient's medical recordIdentifies potential gaps in provider documentation.
Clinical Documentation Integrity (CDI) Specialist Cayuga Health System (Inactive)Clinical Documentation Integrity (CDI) SpecialistIthaca, NYReviews and recommends appropriate level of care and utilization, in collaboration with case managers and social workers, to optimize the length of stay and appropriate placement of patients under DRG payers. Job Summary: The CDI specialist proactively collaborates with physicians, nursing, caregivers, Health Information Management, coding and billing to improve the quality and completeness of documentation of care provided.
Insurance Specialist I - Corporate Patient AR Management - Full Time Guthrie HealthInsurance Specialist I - Corporate Patient AR Management - Full TimeSayre, PATeams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Education, License & Cert: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
Insurance Specialist I - Corporate Patient AR Management - Full Time Guthrie ClinicInsurance Specialist I - Corporate Patient AR Management - Full TimeSayre, PATeams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Education, License & Cert: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
Office Assistant 2 (Calculations) (NY HELPS) (NYS Veterans' Home - Central Billing Office) - 41077, 64327 New York State Thruway AuthorityOffice Assistant 2 (Calculations) (NY HELPS) (NYS Veterans' Home - Central Billing Office) - 41077, 64327Oxford, NY$42,641–$52,413 / yearThe CBO is seeking to recruit administrative and operational support to perform the following responsibilities which directly impact the Homes' financial stability, regulatory compliance, and the ability provide quality care: Data Entry & Documentation: Capturing and entering resident insurance details, admission records, and physician-ordered services into the billing system. Claim Preparation & Submission: Preparing/submitting of clean claims for Medicare, Medicaid, private insurers, and other payers, ensuring compliance with long term care-specific rules (e.g., Medicare Part A coding, Part B therapy codes, Medicaid state requirements) Clerical staff often perform "Triple Check" reviews before submission.
RN Clinical Documentation Improvement Specialist - Value Based Reimbursement - FT Guthrie HealthRN Clinical Documentation Improvement Specialist - Value Based Reimbursement - FTSayre, PAPosition Summary: Responsible for conducting extensive analysis of patient health records in order to ensure complete and accurate documentation, as well as identification of diagnosis codes to properly reflect severity of patient illness. Collaborates with and educates physicians to promote clear and concise documentation reflecting the level of patient services rendered, as well as ensuring appropriate reimbursement is received.
RN Clinical Documentation Improvement Specialist - Value Based Reimbursement - FT Guthrie ClinicRN Clinical Documentation Improvement Specialist - Value Based Reimbursement - FTSayre, PAGuthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Position Summary: Responsible for conducting extensive analysis of patient health records in order to ensure complete and accurate documentation, as well as identification of diagnosis codes to properly reflect severity of patient illness.
Clinical Document Improvement Specialist NY United Health ServicesClinical Document Improvement SpecialistBinghamton, New York$30.58–$45.86 / hourUnited Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. Enjoy four-season recreation, affordable living, top-rated schools, minor league sports, craft brews, a close-knit community, and more, all within reach of the Finger Lakes, the Catskills, and major Northeast cities.
Abstractor - Cardiac Service Line - Perdiem Guthrie ClinicAbstractor - Cardiac Service Line - PerdiemSayre, PAGuthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities.
SBO Patient Financial Rep - 2 - Single Business Office - Full Time Guthrie HealthSBO Patient Financial Rep - 2 - Single Business Office - Full TimeSayre, PAReviews denied or delinquent accounts and performs, appeals or limited skip tracing analysis to locate delinquent patients, when appropriate, to determine such data as previously billed, statements sent and collection action taken, the status and extent of any insurance coverage, and any payment plan delinquency in order to contact the patient to confirm the account balance and to ensure the patient understands their financial obligations to The Guthrie Clinic. Works with patients who are considered financial risks before their appointment by flagging upcoming scheduled appointments and establishes estimates, communication with other departments to offer and discuss all methods of payment available to meet the patients' needs and Guthrie's financial policies.
SBO Patient Financial Rep - 2 - Single Business Office - Full Time Guthrie ClinicSBO Patient Financial Rep - 2 - Single Business Office - Full TimeSayre, PAReviews denied or delinquent accounts and performs, appeals or limited skip tracing analysis to locate delinquent patients, when appropriate, to determine such data as previously billed, statements sent and collection action taken, the status and extent of any insurance coverage, and any payment plan delinquency in order to contact the patient to confirm the account balance and to ensure the patient understands their financial obligations to The Guthrie Clinic. Works with patients who are considered financial risks before their appointment by flagging upcoming scheduled appointments and establishes estimates, communication with other departments to offer and discuss all methods of payment available to meet the patients' needs and Guthrie's financial policies.
RN Clinical Documentation Improvement Specialist NY United Health ServicesRN Clinical Documentation Improvement SpecialistBinghamton, New YorkUnited Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. Enjoy four-season recreation, affordable living, top-rated schools, minor league sports, craft brews, a close-knit community, and more, all within reach of the Finger Lakes, the Catskills, and major Northeast cities.
Medical Scribe - Neurosurgery - Full Time Guthrie ClinicMedical Scribe - Neurosurgery - Full TimeVestal, NY$17.34–$23.96 / hourGuthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities.
Medical Scribe - Neurosurgery - Full Time Guthrie HealthMedical Scribe - Neurosurgery - Full TimeBinghamton, NY$17.34–$23.96 / hourAbout Guthrie Lourdes Hospital: Join a 197-bed acute care hospital known for supporting its nurses and recognized nationally as a top place to work, including Modern Healthcare, Forbes, and Newsweek. The Medical Scribe will work closely with neurosurgeons, advanced practitioners, and other members of the care team to ensure accurate and timely documentation of patient care.
Medical Office Assistant I - Float Pool - Region 3 Bassett Healthcare NetworkMedical Office Assistant I - Float Pool - Region 3Greene, NYBassett Healthcare Network's commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement.