- 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
- Evolent (Albany, NY)
- …financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... (UM) agreements. This important work is achieved through collaboration across the clinical , operations, product and technical teams. **What You Will Be Doing:** This… more
- CenterWell (Albany, NY)
- …needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical coding expertise to support clinical staff ... and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural… more
- WMCHealth (Valhalla, NY)
- …are captured & appealed in a timely manner. Coordinating appeal discussions with clinical & third party payors. + Develop, Implement and coordinate billing practices ... departments. + Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …your preference.** Job Summary We are seeking a detail-oriented and experienced Medical Coder /Biller to join our Ambulatory Surgery Center (ASC) team. This role is ... CPT, ICD-10-CM, and HCPCS Level II codes for surgical and clinical procedures, ensuring accurate reimbursement, coding compliance, and efficient billing processes.… more
- 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
- Nuvance Health (Poughkeepsie, NY)
- …education regarding correct charge capture and billing processes to multiple clinical departments and facilities 5. Supports Practice Management through biweekly ... Information:* . Bachelor's Degree or equivalent experience . Certified Professional Coder (CPC) preferred .Five (5) years relevant experience in hospital setting,… more
- 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
- 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 (Syracuse, NY)
- …KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding, provider auditing and clinical /education experience required. Must have 5 or more years' experience as ... a risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in...INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor… more