Claims Support Advocate (Temp) Included Health IncClaims Support Advocate (Temp)NYFor context, these markets include Zone A (e.g., Phoenix AZ, San Antonio TX, Columbus OH, Charlotte NC), Zone B (e.g., Chicago IL, Denver CO, San Diego CA, Houston TX), and Zone C (e.g., Los Angeles CA, Seattle WA, Washington, D.C., Boston MA). Job Summary: As a Claims Support Advocate (CSA), you will be part of a vibrant team of high performing and highly engaged professionals that work to ensure a quality member experience within our service level agreements.
Inpatient Coding Expert - Fully Remote MercorInpatient Coding Expert - Fully RemoteNew York, New YorkRemote$50–$150 / hourComfort working inside CAC/CDI software and reading the full clinical record, including H&Ps, consults, progress notes, discharge summaries, labs, and flowsheets. Ensure codes are changed, queries sent, holds placed, DRG recomputed, and notes and CDI reviews filed.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Morristown, NJIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Certified Coding Auditor St. Joseph HealthCertified Coding AuditorPaterson, NJResponsible for audits which are internal record reviews for compliance with coding regulations and guidelines in order to provide rebuttals to CMS or other payer denials and to assist and improve on physician correct coding/documentation education. Provides assistance with the creation of EMR templates in order to to improve capture of correct documentation to support E&M (Evaluation and Management Coding) levels.
Document Improvement Specialist, Fulltime The Stamford HospitalDocument Improvement Specialist, FulltimeStamford, CTImprove physician documentation compliance with criteria required under the Inpatient Prospective Payment System (IPPS), in order to eliminate payment errors on Medicare discharges caused by incomplete/inaccurate physician documentation; as well as ensure clear and concise documentation to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and applicable federal and state law. Having a through knowledge of DRG's and coding guidelines, the Documentation Improvement Coordinator will: Work with case managers, physicians and coders to establish appropriate documentation for correct coding.
Procedural Billing Specialist II-MSW-FT Days Mount Sinai Health SystemProcedural Billing Specialist II-MSW-FT DaysNew York, NY$59,895–$89,843 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNew York, NY$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Patient Accounts Associate - Billing, Coding & Collections Stone Alliance Group Career PagePatient Accounts Associate - Billing, Coding & CollectionsNew York, NY$50,000–$56,000 / yearFurthermore, you will work closely with our clinicians, patients, and internal teams to resolve billing discrepancies, track payments, and maintain accurate financial records. Reporting to the Senior Patient Accounts Associate, this is a full-time, non-exempt, hybrid (4 days in office , 1 day remote) position located in the Midtown, New York City office .
Senior Consultant - Clinical Documentation Specialist DeloitteSenior Consultant - Clinical Documentation SpecialistNew York, NY$95,600–$188,400 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Charge Description Master Coordinator Saint Peter's Healthcare System IncCharge Description Master CoordinatorNew Brunswick, NJ$68,266–$112,632 / yearLead new service, regulatory, and pricing changes, including CPT/HCPCS updates, annual pricing, new services and technology, and analysis of Medicare/Medicaid and payer reimbursement impacts. The Charge Description Master Coordinator will: Own Epic CDM integrity and maintenance, including charge codes, descriptions, CPT/HCPCS assignments, revenue codes, modifiers, units of service, pricing, and effective dates.
Manager Coding Maimonides Medical CenterManager CodingBrooklyn, New York$75,000–$107,000 / yearFull timeThe system is anchored by Maimonides Medical Center, one of the nation’s largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. Serves as a role model for the staff managed in terms of consistently demonstrating timely reporting to work, appropriate use of work time and resources, exceptional work ethic, collaborative teamwork, positive reinforcement, lifelong learning, and conducting oneself in a professional manner, especially when representing the Department and Medical Center.
Prof Coding & Billing Auditor Maimonides Medical CenterProf Coding & Billing AuditorBrooklyn, NY$68,000–$90,000 / yearThe system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130-bed adult medical-surgical hospital; and Maimonides Children's Hospital, Brooklyn's only children's hospital and only pediatric trauma center. We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers.
Coding and Documentation Review Specialist Catholic HealthCoding and Documentation Review SpecialistMelville, New York$65,000–$80,000 / yearMust be fluent with the Evaluation and Management / CPT coding guidelines, ICD10 coding guidelines for outpatient, inpatient, observation coding including but not limited to all office-based services, procedural coding and hospital rounding. Identifies coding issues related to billing denials, collaborates with the Coding Educator and Revenue Integrity as needed to assist with the preparation of training materials and examples to prevent future coding/billing issues.
Coding and Documentation Review Specialist St. Catherine of Siena Medical CenterCoding and Documentation Review SpecialistMelville, NY$65,000–$80,000 / yearMust be fluent with the Evaluation and Management / CPT coding guidelines, ICD10 coding guidelines for outpatient, inpatient, observation coding including but not limited to all office-based services, procedural coding and hospital rounding. Identifies coding issues related to billing denials, collaborates with the Coding Educator and Revenue Integrity as needed to assist with the preparation of training materials and examples to prevent future coding/billing issues.
NewSr Claims Coding Analyst HealthfirstSr Claims Coding AnalystNY$83,100–$120,360 / yearThe Senior Claims Coding Analyst - Dispute Triage & Optimization serves as a coding subject matter expert and triage coordinator responsible for optimizing the disposition of provider disputes across populations of claim scenarios. The Senior Analyst independently resolves complex coding and payment issues, supports dispute prevention efforts, and provides guidance to Claims Coding Analysts.
Inpatient Coding Manager Huron Consulting Group IncInpatient Coding ManagerNew York City, NY$90,000–$130,000 / yearREQURIED SKILLS: Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members. is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics.
Billing and Coding Assistant Columbia UniversityBilling and Coding AssistantNew York, NY$68,000–$73,000 / yearReporting to the Coding Manager, this role is responsible for independently reviewing complex clinical documentation, interpreting coding and payer regulations, and ensuring accurate and compliant charge capture across multiple service lines. Independently review and interpret clinical documentation to ensure accurate, compliant, and complete charge capture across pain medicine and related specialties.
NewAssociate, Payment Integrity IBR Oscar Health InsuranceAssociate, Payment Integrity IBRNew York, NY$91,908–$120,629 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
NewNetwork Manager, Billing Compliance Westchester Medical Center Health NetworkNetwork Manager, Billing ComplianceValhalla, NY$120,220–$152,177 / yearJob Category Job Category Advanced Clincial Providers Advanced Practice Providers Allied Health Prof/Technical Clerical/Administrative Support Executive/Management Finance/Info Systems Nursing Support Nursing/Nursing Management Physicians Professional/Non-Clinical Service/Trades. The Network Manager develops and oversees compliance programs, auditing and monitoring activities, education initiatives, corrective action plans, and cross-functional collaboration efforts designed to reduce compliance risk and support accurate reimbursement.
NewAssociate, Payment Integrity IBR Oscar Health IncAssociate, Payment Integrity IBRNew York, NYRemote$82,717–$108,566 / yearThis is accomplished by leveraging a deep understanding of Oscar''s claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.