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New York Medical Group Management Associatio
n

The New York State Affiliated Chapter of MGMA

Careers

We provide this Career page as an affordable service to the medical practice community. Members and non-members are welcome to participate.

Posting to the job board is a member benefit. Non-members can post a position for 30 days for $99.

To post a position, please complete and return our Job Posting Request Form to info@newyorkmgma.com

Payment needs to be received in full before the career posting is uploaded to the web site.


      Position: Compliance Auditor Analyst 

      Company: Upstate University Medical Associates at Syracuse (UUMAS)

      POSITION SUMMARY

      Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits.

      DUTIES/RESPONSIBILITIES

      • Analysis of coding and billing data, identification of trends and aberrations.
      • Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines.
      • Interpretation of coding, billing, and regulatory standards.
      • Preparation and completion of audit reports including recommendations, education and corrective action.

      MINIMUM REQUIREMENTS

      • Education & Experience: Associate degree and 2 years’ experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required. Will consider equivalent combination of education and experience.
      • Knowledge, Skills and Abilities: Strong computer skills specifically Microsoft word and Microsoft excel applications. Strong analytical, problem-solving and time management skills. Expertise in report writing and oral communications. Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards. Familiarity with health information and/or medical records. Able to organize work, prioritize assignments and meet deadlines. Maintains a professional and cooperative attitude with providers, co-workers and employer. Able to maintain confidentiality of all patient information and compliance related information.

      MINIMUM QUALIFICATIONS

      • Associates degree and 2 years experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required.

      PREFERRED QUALIFICATIONS

      • Bachelors Degree; Coding and auditing experience preferred.

      WORK DAYS

      • Hybrid position
      • Monday - Friday daytime hours

      * If you are interested in this position apply at UUMAS Compliance Auditor Analyst Job Posting *

      POSTED: 5-10-2024

      Position: Credentialing Specialist

      Company: Excelsior Orthopaedics

      GENERAL SUMMARY: Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all licensed clinical staff members who provide patient care. Responsible for ensuring providers are credentialed, appointed and privileged with health plans, hospitals and patient care facilities. Maintain up to date for each provider in credentialing databases and online systems ensure timely renewal of licenses and certification.

      DUTIES AND RESPONSIBILITIES

      • Compiles and maintains current and accurate data for all providers.
      • Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed.
      • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
      • Maintains corporate provider contract files.
      • Maintains knowledge of current health plan and agency requirements for credentialing providers
      • Sets up and maintains provider information in online credentialing databases and system.
      • Tracks license and certification expirations for all providers to ensure timely renewals.
      • Ensures practice addresses are current with health plans, agencies and other entities.
      • Audits health plan directories for current and accurate provider information
      • Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs. Applies for NPUI numbers for new providers, provides NPI numbers to physician offices and insurance carriers as requested. Enrolls new and updates existing providers in CAQH (on-line clearing house) according to guidelines.
      • Initiates malpractice coverage application process for new providers
      • Coordinates with Accounts payable to ensure fees and premium payments are submitted for licenses, DEA certificates and malpractice coverage.
      • Monitors and maintains database of all Continuing Medical Education credits obtained or programs attended by clinical staff, records additional certification earned by providers.
      • Maintains confidentiality of provider information
      • Provides credentialing and privilege verification.
      • Knowledge and understanding of credentialing process.
      • Ability to organize and prioritize work and manage multiply priorities.
      • Ability to research and analyze data.
      • Ability to work independently with minimal supervision.
      • Ability to establish and maintain effective working relationships with providers, management, staff and external contacts.
      • Proficient use of Microsoft Office, Work, Excel and Access

      REQUIREMENTS AND QUALIFICATIONS

      • Associate degree and Certified Provider Credentialing Specialist (CPCS) and minimum 2-3 Years Credentialing experience.
      • High School with 5 Years credentialing experience. Medent a plus
      • Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience.
      • Proficiency with PC and medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers
      • Understanding of Malpractice insurance coverages and policies

      * If you are interested in this position, send your resume/application to Kamiller@excelsiorortho.com or CLICK HERE *

      POSTED: 2-27-2024

      Position: Medical Billing Specialist

      Company: Excelsior Orthopaedics

      GENERAL SUMMARY: Position responsible for adding charges into billing system, generating insurance claims and patient statements; post payments, follow up on charges, and answer all inquiries on accounts.

      DUTIES AND RESPONSIBILITIES

      • Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
      • Research all information needed to complete billing process including obtaining patient insurance information and charge detail from providers.
      • Enters and itemizes charge information into billing system.
      • Assists with coding diagnosis or procedures on charge.
      • Ability to process and transmit billing to insurance company.
      • Post payments and applies credits to patient accounts.
      • Answer telephone and provides information as requested.
      • Contact insurance company as necessary to verify medical insurance coverage and patient responsibility on claim.
      • Post denials, correcting charges, filing appeals, and following up on unpaid claims, including composing and processing correspondence as required.
      • Participate in Accounts Receivable activities on past due accounts as directed by Billing Manager
      • Generate periodic reports and statistics regarding status of patient’s accounts and receivables.
      • Maintain patient confidentiality.
      • Apply knowledge of health insurance plans and terminology; apply practical knowledge of billing practices, clinical policies, and CPT/ICD10 codes
      • Evolve in your role when performing supplemental responsibilities as assigned

      REQUIREMENTS AND QUALIFICATIONS

      • Associates degree preferred; HS diploma or GED required
      • Proven experience (2+ years) as a medical billing specialist or in a similar role.
      • EMR experience required, MEDENT preferred
      • Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.

      * If you are interested in this position, send your resume/application to Kamiller@excelsiorortho.com or CLICK HERE *

      POSTED: 2-27-2024

      Position: Medical Coder

      Company: Excelsior Orthopaedics

      GENERAL SUMMARY: Reviews, interprets, and codes surgical medical records for reimbursement purposes using ICD-10-CM standards. Reviews operative reports for all procedures performed by Excelsior Physicians for completeness and to abstract and code clinical data, using standard classification systems. Operates computer to process, store, and retrieve health information.

      DUTIES AND RESPONSIBILITIES

      • Audits accuracy of ICD-10-CM diagnosis codes on all claims prior to submission
      • Audits accuracy of HCPCS and CPT codes on all procedures and services performed prior to submission. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code.
      • Receives hospital information to properly bill provider services for hospital patients.
      • Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies.
      • Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
      • Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately
      • Contacts providers to train and update them with correct coding information.
      • Attends seminars and in-services as required to remain current on coding issues.
      • Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
      • Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
      • Performs other related duties, which may be inclusive, but not listed in the job description.

      REQUIREMENTS AND QUALIFICATIONS

      • Current medical coding certification
      • Proficiency with a minimum of one (1) year experience in EMR and practice management computer programs
      • Knowledge of orthopedic, physical therapy, and/or podiatry medical terminology preferred.
      • Medent EMR experience preferred.
      • Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.

      * If you are interested in this position, send your resume/application to Kamiller@excelsiorortho.com or CLICK HERE *

      POSTED: 2-27-2024

      Position: Staff Nurse

      Company: Goodman Pediatrics

      Location: Rochester, NY

      GENERAL SUMMARY: Performs duties and assists physicians and staff as part of the practice care team with daily coordination of patient care that facilitates care and physician access. Functions as primary liaison among patients, staff, and physician. Primary support person for the physicians. Involves both floor work and administrative work. Exhibits the 4 core values of respect, integrity, innovation, and compassion.

      ESSENTIAL DUTIES AND RESPONSIBILITIES

      • Provide basic patient care and treatment
      • Greets patients and parents in polite, prompt manner and provides directions and information as needed
      • Ensures timely and efficient patient flow
      • Maintains and reviews patient electronic records and other pertinent health information
      • Coordinates patients' appointments; relays necessary information to staff and physicians
      • Performs nursing duties, including history and physical examination, vital signs, injections and immunizations, and other duties as required
      • Assists in minor office procedures, such as removing sutures as designated by physician, and obtaining specimens and processing  accordingly.  Administer nebulizer treatments and other therapeutic injections. Performs pulmonary function testing
      • Educate and update patients/parents on medical treatments/medications as per MD instructions
      • Maintains examination rooms and ensures cleanliness. Prepares equipment for treatment

      QUALIFICATIONS

      • Compassionate and caring demeanor
      • Ability to multitask
      • Ability to build rapport with patients and parents
      • Excellent written and verbal communications skills
      • Familiarity with medical terminology and equipment

      * If you are interested in this position, send your resume/application to goodmanpediatrics200@wny.twcbc or fax to (585)473-0051 *

      POSTED: 2-20-2024

      Position: Per Diem Payment Poster

      Company: X-Cell Laboratories of WNY

      Location: 20 Northpointe Pkwy, Suite 100, Buffalo, NY 14228

      Private reference laboratory in Buffalo, NY is seeking an experienced Per Diem Payment Poster to join our team. Duties include electronic payment posting, payment posting reconciliation, denial follow-up, and charge entry of laboratory services. Knowledge of third-party insurance process is mandatory. Additional duties include phone communication with patients as well as insurance companies.

      Minimum 2+ years’ experience in payment reconciliation and timely denial follow-up. Candidate must be able to multitask and work collaboratively within a team environment. Coding knowledge of anatomic and clinical pathology is helpful. Position is on site.

      * If you are interested in this position, send your resume to bloftus@x-celllab.com *

      POSTED: 2-12-2024


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      New York Medical Group Management Association, Inc.
      PO Box 3403, Hamilton, NJ, 08619
      P: 844-333-5511 E: info@newyorkmgma.com
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