Medical Coder
4 weeks ago
The medical coder, under the supervision of Manager of AMG (Atlantic Medical Group, our physician practices) Revenue Cycle, will play a key role in supporting the billing office operations. Addresses inquiries from the CBO team regarding the billing, coding, and claims submission process as it relates to coding rules and payer requirements.
Knowledge of CPT, ICD10, and HCPCS coding
Knowledge of Medical Terminology & Anatomy
Identify ICD 10 Codes as appropriate per CCI Guidelines
Ability to process charges through the electronic health record
Ability to work denials through multiple systems
Ability to explain the differences between correct coding and payer requirements
Ensures claims are submitted proper and timely by the provider and include the necessary modifiers and units
Ability to differentiate place of service between inpatient, outpatient, and observation
Identify coding trends for education and reports to Supervisor
Identifies trends with insurance related issues and reports to Supervisor
Ability to abstract appropriate CPT and ICD10 from medical record
Reviews and corrects issues, rejections and/or denials for place of service and CPT mismatches, pre and post op denials, missing diagnosis, age related, and modifiers
Knowledge of Medicare Annual Exams vs. Preventative visits
Proficiency in NDCs and Infusion drugs
Policy research to ensure correct coding
Knowledge of CMS guidelines, complying with medical coding guidelines and legal requirements to ensure compliance with federal and state regulations
Various duties as assigned by Manager and/or Supervisor
Qualifications for Internal Candidates
CPC Certification a must
Minimum of 2 - 5 years of medical coding experience required
Experience in Surgical coding preferred, but not required
Strong written and verbal communication skills
Ability to set and meet deadlines
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York, United States York General Full timeYork General's patient volume is growing and we are expanding our coding team.This coder will work primarily on Emergency Room coding and outpatient surgery coding.Knowledge and experience of E/M levels and outpatient surgery with CPT procedure coding a plus. A CCA or CCS certification preferred but will consider training the right candidate who has an...
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New York, New York, United States Orby AI Full timeCompany Overview Abstractive Health is a physician AI assistant that streamlines clinical documentation. We are at the forefront of integrating artificial intelligence (AI) into healthcare to improve patient outcomes, streamline clinical workflows, and enhance data privacy. By leveraging advanced AI technologies, we generate clinical notes such as Progress...
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Revenue Cycle Specialist
1 week ago
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New York, United States Gila Aaron MDPC Full timeMedical Biller with experience with OBGYN coding and Advanced MD software Thorough understanding of deductibles, co-insurance, prior authorization, in-network, out-of-network, co-pays, claims follow-up, benefits, and eligibility. **Job Type**: Part-time Pay: $23.00 - $30.00 per hour Expected hours: 08 - 16 per week **Benefits**: - Paid time...
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Billing Manager-64541703
2 weeks ago
New York, United States Institute for Comm Living Full timeJob DescriptionJob DescriptionCertified Billing Manager/Coder is responsible for managing the billing process of medical practices and ensuring timely and accurate payments are received.ESSENTIAL JOB FUNCTIONS: Responsible for submitting all necessary paperwork and information to the billing department for both the Highland Park Center and Rockaway Parkway...
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RN Utlization Review Specialist
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New York, United States American Consultants Full timeJob DescriptionJob DescriptionRN Utilization Review Specialist- New YorkAmerican Consultants is looking for an perm Utilization Review Specialist for a facility in NY. Must have New York RN licensePosition Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for...
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RN Utlization Review Specialist
4 weeks ago
New York, United States American Consultants Full timeRN Utilization Review Specialist- New YorkAmerican Consultants is looking for an perm Utilization Review Specialist for a facility in NY. Must have New York RN licensePosition Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for patients in accordance to...
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DRG Reviewer
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OP Clinical Denial Specialist
2 weeks ago
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Experienced Low Level Software Engineer
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New York, United States Hudson River Trading Full timeWorking as a coder at Hudson River Trading (HRT) means working on a small, highly productive and efficient team. We know you see "Trading" in our name and assume you'll be relegated to some dark corner to code for the "business" but this impression is entirely wrong. At HRT, a fully automated trading firm based in NYC, the code you write *is* our business,...
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OP Clinical Denial Specialist
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Compliance Auditor
1 week ago
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Medical Coding Auditor-Educator
4 days ago
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