- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services -Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical ... Practice Plan) is responsible for reviewing and verifying that all billable services and procedures provided to patients are accurately documented, coded, and… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- CVS Health (Albany, NY)
- …ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and ... supported by clinical documentation in accordance with all State and Federal...and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION Job Summary Provides support for non- clinical healthcare services auditing activities. Responsible for performing audits for non- clinical ... * Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) non- clinical review/auditing experience. To… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding skill set to act as a ... service line coding team lead expert, working collaboratively to...with related rules and regulatory requirements, and to identify clinical documentation improvement opportunities. + Identify trends based on… more
- WelbeHealth (Albany, NY)
- …homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person ... At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate...on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as… more
- Northwell Health (Westbury, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Job Responsibility 1.Leverages clinical expertise to identify and ... several factors may be considered as applicable (eg, location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and represents non- clinical staff in discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new ... of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** General Purpose Leads the Quality Assurance team for clinical research conducted at CHeT. Ensures clinical data quality, ... internal leaders and Principal Investigators. Ensures that CHeT is clinical trial "audit ready" and that there is full...annual basis for all CHeT personnel. Provides compliance consulting services to the University as needed. + Develops and… more
- Spectrum Health and Human Services (Orchard Park, NY)
- Agency Profile: Spectrum Health & Human Services respectfully partners with adults, children and families as they recover from behavioral, emotional, mental health ... 200), state requirements, and specific CCBHC funding rules. + Collaborate with clinical and program teams to ensure proper allocation and documentation of program… more
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