- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... Level I . Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of… more
- Ellis Medicine (Schenectady, NY)
- …to provide timely, accurate, and complete posting and billing of patient demographic and clinical coding data as well as managing and tracking results. SECTION ... and Labor regulations. + Responsible for oversight of all medical coding functions utilizing both the clinical and financial systems + Responsible for coding … more
- Highmark Health (Albany, NY)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers ... for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk adjustment… more
- Trinity Health (Albany, NY)
- … Specialist works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION… more
- Mount Sinai Health System (New York, NY)
- …managed care. + Expected to stay updated on current medical billing and coding processes, clinical procedures, and relevant disease states. + Demonstrated ... processes to improve efficiency and reduce administrative burden. + Collaborate with clinical , billing, coding , and IT departments to address documentation… more
- Elevance Health (New Hyde Park, NY)
- …or process improvement and efficiency recommendations. .Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated posting… more
- Deloitte (New York, NY)
- …Monitor diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and request missing ... + Keep up to date with advancements changes in regulations pertaining to coding , clinical documentation and health information technology The Team: Our… more
- CTG (Buffalo, NY)
- …HL7 v2.x knowledge and healthcare integration patterns. + Familiarity with clinical documentation, coding , charges, and financial transactions. + Preferred: ... **CTG is seeking to fill a Clinical & Revenue Applications Staff Position Programmer - Integration Services position for our client.** **Location:** Buffalo, NY… more
- Garnet Health (Middletown, NY)
- …Garnet Health Medical Center. Responsibilities Under the direction of The Administrator, Coding & Clinical Documentation Improvement and Patient Access, the ... knowledge, required* Exceptional ability to communicate effectively with physicians and other clinical professional staff.* Knowledge of DRG and Coding appeal… more
- Kaleida Health (Buffalo, NY)
- …the clinical team and collaborates extensively with Physicians/Providers, HIM coding team, Nursing, Patient Management, Quality Department and ancillary staff to ... perform concurrent analytical review of clinical documentation and coding data.The CDS facilitates obtaining appropriate clinical documentation for any … more
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