- CVS Health (Albany, NY)
- …purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and ... speak to such evidence across internal stakeholders with varying knowledge and clinical expertise in either written or verbal forms including communication with … more
- CVS Health (Albany, NY)
- …purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and ... conditions + Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal… more
- Northwell Health (Garden City, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the diagnostic ... by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review… more
- Humana (Albany, NY)
- …us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate ... procedural terminology and medical codes (eg, ICD-10-CM, PCS) to patient records. This position works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.… more
- WMCHealth (Valhalla, NY)
- …(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) ... improvement activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records 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, ... while collaborating with internal leaders and Principal Investigators. Ensures that CHeT is clinical trial "audit ready" and that there is full adherence to protect… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection ... within Molina plans. + Develops and implements targeted collection of clinical data acquisition related to performance reporting and improvement, including member… more
- Molina Healthcare (Rochester, NY)
- …requirements and oversees the use of automated software tools and processes; Clinical Quality Interventions, which develops, implements and monitors the success of ... improved reporting and use of reporting tools. + Leads key Clinical Intervention activities including implementation of national and state-based Quality… more
- Albany Medical Center (Albany, NY)
- …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... inactivation's, changes and/or revisions were accurately completed in the hospitals clinical and financial systems + Participate and lead committees, work groups,… more
- University of Rochester (Rochester, NY)
- …compliance functions. Directs the Office of Research Compliance for clinical research billing compliance, sponsored program financial compliance, and development ... to review and approve the billing plans/budgets for all clinical research studies and ensure harmonization exists among all...Accountant (CPA) upon hire preferred or + Certified Internal Auditor (CIA) upon hire preferred or + CHC -… more