- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non- Exempt Hourly) LOCATION: 696 Dutchess Turnpike ... Coding Educator/ Auditor provides educational and physician support for coding and billing practices, performs annual provider audits, and provides… more
- Highmark Health (Albany, NY)
- … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... with CDMP and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing , coding … more
- Albany Medical Center (Albany, NY)
- …Work Shift: 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 support all workflows related to professional fee coding /charging/denials… more
- Cognizant (Albany, NY)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of Company Health Information… more
- University at Buffalo (Buffalo, NY)
- Position Title: Coding Educator and Auditor , Department of Medicine Posting Number: U240097 Employer: University Affiliates FTE: 1.00 Preferred Qualifications: + ... Bachelor's Degree. + Solid understanding of billing processes and experience with electronic health records ( EHR ) systems. + In-depth knowledge of policies,… more
- Mount Sinai Health System (New York, NY)
- …financing and managed care. ? Expected to stay updated on current medical billing and coding processes, clinical procedures, and relevant disease states. ? ... and related professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist… more
- SUNY Upstate Medical University (Syracuse, NY)
- …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.… more
- Molina Healthcare (Buffalo, NY)
- …standard principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
- Albany Medical Center (Albany, NY)
- …organizational decisions + Develop policies, guidelines, and procedures for pharmaceutical coding , billing , pricing, charging, and denial management to maximize ... Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing ... contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as… more