1. Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. 2. Evaluates Outpatient Clinical denials against medical record documentation, the coding of the encounter , payer policies and contracts, and coverage determinations to determine the viability of an appeal 3. Compiles the supporting documentation by working i

1. Manages in collaboration with the OP Coding Leadership team the day to day activities related to Outpatient Coding AR to ensure accuracy, completeness, and timeliness of coding completion. This includes, but is not limited to ongoing communication and collaboration with internal and partner departments to resolve outstanding issues and streamline workflows, monitoring

1. Collects, validates and accurately documents patient insurance and benefits information and is fully knowledgeable about all aspects of insurance verification requirements. 1.1 Utilizes the On line Eligibility system and/or other means (i.e. telephone, fax or various third party payer website) to obtain insurance benefits and makes sure insurance verification informati

Hematologist/Oncologist Location US NY Bronx ID 2023 9794 Type Regular Full Time Hospital NYC Health + Hospitals/Jacobi Overview Physician Affiliate Group of New Yor k ( PAGNY ) is adding a Hematology Oncology physician to the group at Jacobi Medical Center/ North Central Bronx Hospital . Our hospitals are part of the NYC Health + Hospitals System (NYCHH C ) . Jacobi is a

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 Res

Job Description PT 22.5 11a 7p Facilitates the registration of Outpatient Patients. Interviews patient and/or representatives to obtain identifying information and other data required for registration Job Responsibility 1. Receives in coming telephone calls promptly and professionally. 2. Maintains constant awareness of patient arrival. 3. Monitors prescriptions for expir

for Internal Candidates Job Description FT 37.5 hrs 7a 3p Verifies all dictation is received from outside transcribing services. Coordinates the transcription of necessary documents and processes them appropriately. Job Responsibility Ensures all dictated physicians' medical reports are received from outside transcription service. Answers telephone calls from physicians re

Coordinates with clinical and clerical staff to obtain charge information for all patients. Processes claims for payment from clinician encounters or insurance forms. Prepare and submit claims to insurance companies/state for reimbursement. Reviews and corrects claims that are missing information according to applicable standards and compliance guidelines. Provides a high

Ensures that all patients, visitors and guests, as well as co workers, receive personalized prompt attention and that they are treated with dignity and respect, and with the utmost confidentiality. Greets patients, observes their condition and routes them to the provider. Bringing acutely ill patients to the clinician's attention immediately. Responsible for monitoring th

The Medical Compliance Specialist assist with ensuring that the clinical needs of individuals served are being met and maintained as per all state and federal regulations and in accordance with agency policy. This person will support new and existing Managers/Directors by completing regular audits of medical and other records to ensure compliance and assisting with the ne

To collect and utilize data of patients with a diagnosis of malignancy, benign, or questionable tumor(s) that are considered reportable by the New Jersey Department of Health (NJDOH) and the American College of Surgeons (ACOS)and maintain efficient operations of the tumor registry. EDUCATION High school diploma or equivalent and Certification by the National Board for Cer

A day in the life of a Medical Secretary at Hackensack Meridian Health includes Schedules appointments, meetings or conferences for departmental personnel utilizing interdepartmental and/or hospital wide computerized scheduling systems. Enters inpatient and outpatient profession charges on medical billing system. Composes and prepares correspondences. Uses knowledge of me

A day in the life of a Outpatient Coder IV at Hackensack Meridian Health includes Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions. Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

At Stony Brook Medicine, our Patient Access Representatives are responsible for completing varied, diverse and specialized duties to support the Revenue Cycle, Compliance and Patient Experience by accurately and efficiently completing tasks in areas of Registration, Financial screening and verification, and Patient throughput. Qualified candidates will demonstrate excelle

At Stony Brook Medicine, the Medical Record Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD 10 CM, ICD 10 PCS, CPT and HCPCS codes. Duties of a Medical Record Coder may include the following but are not limited to Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Read