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Join Jamaica Hospital Medical Center

Jamaica Hospital Medical Center—one of America’s 100 Best Hospitals by Healthgrades—is a 384-bed, not-for-profit, fully accredited community teaching hospital serving Queens since 1891, where we started in just a four-bedroom house. Today, we deliver nationally recognized care in cardiology, stroke, oncology, imaging, and emergency medicine, and are New York State’s only Primary Heart Attack Center and the first Comprehensive Stroke Center.

With an expanded Level I Trauma Center, Pediatric Emergency Department, modern maternity services, and over 120,000 ER visits annually, we offer dynamic opportunities for professional growth, impact and clinical excellence. Through our affiliation with Memorial Sloan Kettering Cancer Center and the upcoming opening of our newly built, state-of-the-art Cancer Center, we continue to expand access to world-class care.

As a safety-net hospital, filling a void for the people in the community, we proudly serve all patients regardless of ability to pay. Join us during this exciting period of growth and help shape the future of healthcare.

Mission: To serve our patients and the community in a way that is second to none. 

Vision: To be the premier integrated healthcare delivery system by providing the highest quality, most cost-effective service, which is accessible and sensitive to all.

This position is inactive

AUDITOR (MEDICAL) 

Location:   80 Marcus Drive Melville, New York   11747

Growing Healthcare Receivable Management Company seeks detail-oriented full-time Auditor/Analyst with a medical background in medical/hospital billing and coding to Analyze and follow up on patient accounts.  Experience with Health Insurances is preferred.

Summary of Responsibilities:

  • Follow up and analysis on hospital patient accounts, including follow up with third party payers

Responsibilities:

  • Review/Analyze Physician/Outpatient accounts to determine issues causing denial or delay of payment.
  • Review denials related to ICD-10 and CPT code denials
  • Review medical necessity denials due to lack of documentation/insufficient coding.
  • Submit written claim/payment disputes as necessary.
  • Prepare and submit appeals for authorization denials/administrative denials as necessary.
  • Follow up on status for Outpatient/Physician claims and/or denials.
  • Communicate with other departments in order to have accounts reviewed and obtain additional information needed to dispute claims issues as needed.  
Requirements
  • High School Diploma or GED, required
  • Bachelors’ degree, preferred.
  • Coding certification preferred.  (AHIMA or AAPC)
  • Minimum 2 years in a healthcare setting
  • Computer literate
  • Proficient in EPIC application, preferred

 SALARY: $55,000 – $62,000

Job Overview
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