• Coding Auditor Educator

    Highmark Health (Albany, NY)
    …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more
    Highmark Health (05/09/25)
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  • Director, System Payer Contracting

    Albany Medical Center (Albany, NY)
    …and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments. ... value-based enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading, and overseeing… more
    Albany Medical Center (04/16/25)
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  • Risk Management Analyst - St Peters Health…

    Trinity Health (Albany, NY)
    …visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management ... the Department of Health as required by law. **_Specific Activities_** + Conducts case finding by daily review of reported events and other information retrieved… more
    Trinity Health (03/19/25)
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