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Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Ce[...]
Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) Employer: Excellus BCBS Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst role focuses on reviewing acute facility‑based clinical...SuggestedFull timeRemote work- ...of required clinical criteria, medical policy, contract benefits, and State and Federal Mandates. May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical Policies. Accountable for meeting departmental...SuggestedContract workWork at officeRemote work
- ...of required clinical criteria, medical policy, contract benefits, and State and Federal Mandates. May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical Policies. Accountable for meeting departmental...SuggestedFull timeContract workSeasonal workLive inWork at officeLocal areaRemote work
- ...assigned. Education: High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 years experience in insurance billing or CPC certified. Must...SuggestedFull timePart time
The Guthrie Clinic
Sayre, PA7 days ago - ...neat and orderly workstation. Adhere to prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct. Maintain awareness of and actively participate in the Corporate Compliance Program. Educational/Vocational/Previous...SuggestedOdd jobContract workImmediate startMonday to Friday
First Source LLC
Horseheads, NY5 days ago - ...assigned. Education: High school diploma or equivalency required. CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Minimum 3 years experience in insurance billing or CPC certified. Must...SuggestedFull time
Guthrie
Sayre, PA3 days ago $17 - $25.16 per hour
...and participates in Department meetings, along with contributing to department/office goals. - Become familiar with ICD9 and CPT coding. - Cleans, stocks, and prepares exam rooms. - Coordinate patient appointments for Xray, CT scans, Physical Therapy, etc. as ordered...SuggestedHourly payFull timePart timeWork at officeRelocation packageFlexible hoursGuthrie
Corning, NY10 days ago- ...Attends and participates in Department meetings, along with contributing to department/office goals Become familiar with ICD9 and CPT coding Cleans, stocks, and prepares exam rooms Coordinate patient appointments for Xray, CT scans, Physical Therapy, etc. as ordered...SuggestedFull timePart timeWork at officeRelocation packageFlexible hours
Guthrie
Sayre, PA10 days ago $60.41k - $96.08k
...variety of documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding, inter-plan regulations, government policies, as well as diverse regulatory and legal requirements....SuggestedFull timeContract workWork at officeLocal areaRemote work- ...balance. 4. Develop strong working relationships with physician offices, noncentralized scheduling and registration areas, ancillary coding, and other areas as needed to ensure appropriate and effective communication and coordination of service delivery. 5. Assist...SuggestedFull timePart timeFlexible hours
Guthrie
Sayre, PA10 days ago - About the job Data Entry Operator | Junior (Remote) Important: You Will Receive An Email Within Next 2 Minutes After Applying , Check Your Inbox or Spam Folder For next steps. A Data Entry Clerk, is responsible for inputting data and making changes to existing...SuggestedRemote work
Only Data Entry Clerk
Elmira, NY4 days ago $17 - $25.34 per hour
...required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, i.e. diagnosis and procedure codes are compatible and accurate. Makes charge corrections or follows up with appropriate parties as needed to ensure billing invoice is...SuggestedFull timePart timeWork at officeGuthrie
Sayre, PA10 days ago- At ElevaIT, we’re currently looking for a Document Control Clerk for a 12+ Months Contract with our direct client —and I think you might be a great fit! Job Title: Document Control Clerk Location: Corning, NY 14831 Duration: 12+ Months Contract Job Responsibilities...SuggestedContract workFor contractors
Elevait Solutions
Corning, NY22 hours ago $17 - $23.61 per hour
...sitter coverage for all inpatient units. Responds promptly to calls. Responds to all stat situations ie. Medical alerts including Code Blue, STEMI Alert, Stoke Alert, Rapid Response etc. Transports patients to morgue and assist with placing in cooler along with...SuggestedHourly payDaily paidPart timeWork at officeGuthrie
Corning, NY10 days ago- The Document Control Clerk (DCC) role within the Workplace Services team in the Engineering Department is critical for managing, organizing, and supporting project-related documentation, drawings, and files. This role ensures efficient document control processes, contributing...SuggestedFor contractorsWork at officeRemote work
Compunnel Inc.
Corning, NY22 hours ago - ...revenue cycle processes. This role ensures that staff across departments understand and adhere to revenue integrity standards, including coding, billing, documentation, and compliance requirements. The trainer collaborates with subject matter experts to create educational...Part time
Guthrie
Sayre, PA10 days ago $20.55 - $25.69 per hour
...online questionnaires and tests, compiling and reducing large quantities of data under the direction of the PI; performing data entry, coding and analysis, including coding/transcription of videotaped and audio recorded data, entering testing data into databases and/or...Hourly payFull timePart timeFor contractorsFlexible hoursShift workWeekend workAfternoon shift$25 - $30 per hour
...Federal and State Regulations and funder requirements, including Medicaid and non-Medicaid payor compliance and established billing and coding regulations. Prepares reports on internal and external reviews, program monitoring visits, corrective action plans, and follow-up...Full timeWork at office- ...venipunctures. c. Maintains competency in general office procedures (example - EKG, PFS, aseptic technique) d. Maintains basic knowledge of coding and billing processes e. Schedules follow up visits, consultations, referred testing. Obtains per-certifications as necessary...Work at officeFlexible hours
$16.5 - $23.56 per hour
...Performs other related duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES Knowledge of medical terminology, CPT, HCPCS and ICD coding desired. Detail-oriented with the ability to multi-task. Must be open to cross-functionally training in referrals and back office...Hourly payWork at office- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinics policies and procedures and accepted guidelines for medical coding. Works closely with the Compliance Officer and Compliance...Full timePart timeWork at officeLocal areaRemote work
Guthrie
Sayre, PA10 days ago $19.22 - $30.76 per hour
...Quality Management, Case Management). Consistently demonstrate high standards of integrity, supporting the company’s mission, values and code of conduct. Maintain regard for member privacy per corporate privacy policies and procedures. Maintain regular and reliable...Contract workWork at officeRemote workWork from homeHome office- ...proration logic and workflows within Epic. 7. Direct the maintenance and integrity of the chargemaster, ensuring alignment with coding, billing, and reimbursement guidelines. 8. Partner with finance and compliance to ensure pricing transparency and regulatory adherence...Contract workPart timeWork at office
Guthrie
Sayre, PA10 days ago $60.41k - $84k
...regulatory documents, and other customer notifications regarding product and contract updates. Responsibilities Level I Responsible for coding and maintenance of the document production system. Configures the content and documents business rule script coding to the document...Contract workWork at officeRemote work- ...insurance, etc. Prepares encounter forms for all office visits, consults, surgeries, etc., including appropriate ICD-9 and CPT-4 coding. Patient Support Prepares patients for examination/surgery; blood pressures, venipunctures, etc. Prepares surgical instruments;...Work at office
- ...assist in locating & contacting consumers or businesses Adherence to ConServe's Professional Practices Management System (PPMS), Code of Conduct, and Compliance Program Education Requirement: High School Diploma or GED Associates or Bachelor's Degree...Work at officeRemote workFlexible hoursShift workDay shiftAfternoon shift
ConServe
Horseheads, NY5 days ago - Remote Telecommute Work From Home Job Description: We are looking for remote, telecommuting candidates from all types of work backgrounds and skill levels to join us. This is a flexible, work from home position with highly competitive pay working as a research participant...Remote jobFull timeTemporary workPart timeWork from homeFlexible hours
- ...Assistant training program preferred. Experience : Minimum of three years of medical office experience preferred; knowledge of medical coding is a plus. Certification : Basic Life Support (BLS) certification required within 90 days of hire. Skills : Strong multitasking...Work at officeMonday to FridayDay shift
- Description The Lake Erie College of Osteopathic Medicine is seeking qualified medical educators to join our Pathology faculty at our Elmira, NY, campus. We are looking for dedicated, innovative individuals who aspire to work collaboratively with our faculty to...
The Lake Erie College Of Osteopathic Medicine
Elmira, NY3 days ago - ...all appropriate instruments and equipment. If applicable, performs accurate patient registration / including knowledge of insurance codes and billing procedures. If applicable, performs order entry / transcription of orders, routing of orders and cancellations per established...Full timePart timeInternshipRelocation packageShift workNight shiftWeekend workAfternoon shift
Guthrie
Sayre, PA15 hours ago
