• Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …metrics and patient charts, identifying opportunities to support precise clinical documentation. Collaborating with the Risk Adjustment and Quality teams, ... we'll work towards delivering the highest standards of care and enhancing clinical documentation practices that make a meaningful difference in patients' lives.… more
    VNS Health (03/04/25)
    - Related Jobs
  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, ... designs and implements coder education program, continuing education programs and Medical Staff...Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified… more
    Highmark Health (02/07/25)
    - Related Jobs
  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …improvement activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of ... and educational efforts. Tracks and reports on the effectiveness of the clinical documentation improvement program through record keeping and results analysis. .… more
    WMCHealth (04/09/25)
    - Related Jobs
  • Sr. Revenue Integrity Analyst (CCS/CPC/CCA/RHIT)…

    WMCHealth (Valhalla, NY)
    …Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non- Clinical Department: Revenue Integrity Union: No Position: Full Time ... are captured & appealed in a timely manner. Coordinating appeal discussions with clinical & third party payors. + Develop, Implement and coordinate billing practices… more
    WMCHealth (03/20/25)
    - Related Jobs
  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring ... the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting… more
    CenterLight Health System (03/08/25)
    - Related Jobs
  • Code Edit Disputes Team Medical Coding Coordinator

    Humana (Albany, NY)
    …and help us put health first** The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ... Apprentice) + 2 years' experience as a Certified Medical Coder + Ability to problem solve complex issues **Preferred...or more years of experience as a Certified Medical Coder + Knowledge of MS Office programs **Additional Information**… more
    Humana (05/03/25)
    - Related Jobs
  • Manager Coding - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …improve Severity of Illness and Risk of Mortality. + Collaborate with Clinical Documentation Improvement (CDI) teams to optimize reimbursement and quality measures. ... + CCS Certification (Certified Coding Specialist), CIC Credential (Certified Inpatient Coder ), or CPC Credential (Certified Professional Coder ) from the… more
    Mohawk Valley Health System (04/23/25)
    - Related Jobs
  • DRG Validator- REMOTE

    WMCHealth (Valhalla, NY)
    …assignments for validity and accuracy. + Communication discrepancies back to responsible coder for correction. + Educates coders on regulatory changes, trends form ... education to medical staff as necessary. + Contacts physicians or departmental clinical staff to resolve discrepancies or clarify information. + Queries physicians… more
    WMCHealth (03/14/25)
    - Related Jobs
  • Coding Supervisor

    Garnet Health (Middletown, NY)
    …of Inpatient and Outpatient coding in a supervisory capacity or as a Lead Coder required. At least four years recent coding and abstracting experience in a Hospital ... Official Coding Guidelines and methodologies. MS-DRG's, APR-DRG's, APCs' and Clinical Documentation guidelines for hospital facilities. Advanced knowledge of NCCI… more
    Garnet Health (03/04/25)
    - Related Jobs
  • Revenue Integrity Charge Specialist Fully Remote

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote. May include every 5th weekend rotation **POSITION PURPOSE** Responsible for ... including but not limited to, appending modifiers and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including… more
    Trinity Health (05/03/25)
    - Related Jobs