- Highmark Health (Albany, NY)
- …policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of clinical and non- clinical ... guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding ...incumbent participates in various work-groups and sub-committees as a clinical lead/expert. Trains and orients new staff to the… more
- Cognizant (Albany, NY)
- …based on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical ... physician's office) **Qualifications** + **Experience:** 2-5 years in Hospital-based inpatient coding . + **Current coding credential:** **CCS (AHIMA)** and CPC,… more
- Mount Sinai Health System (New York, NY)
- …trauma registrar analyzes and interprets all available patient data to determine coding classifications including ICD-9/10 and AAAM in compliance with the American ... of college with courses in medical terminology, anatomy, and physiology, ICD-10-CM/PCS coding certification, AIS 2015 coding certification and computer software… more
- Mount Sinai Health System (New York, NY)
- …registration, coding , and billing accuracy and performance. * Support clinical leaders and administrators by providing education on revenue cycle best practices ... optimizing processes across the entire revenue cycle-including registration, pre-authorization, coding , billing, collections, reimbursement, and financial analysis-to drive revenue… more
- Catholic Health (Buffalo, NY)
- …+ Patient Access + Health Information Management + Coding and Coding Education + Inpatient, Outpatient and Ambulatory Clinical Documentation Integrity + ... Health. This role also has secondary oversight for inpatient clinical denials, Utilization Management and vendor performance of Healthcare...requirements for the Medical Record + Knowledge of ICD coding , working knowledge of coding for third… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I + Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for ... and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits… more
- UHS (Norwich, NY)
- …Office to refine and monitor billing. Acts as a resource to physicians, clinical staff and business office staff regarding coding questions; provides regular ... standards based on patient care needs, patient flow, procedures and other clinical needs; interviewing, selecting and hiring new employees; ensuring compliance with… more
- Datavant (Albany, NY)
- …our efforts in selling chart retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be responsible for ... + Develop and execute a sales strategy to grow adoption of HCC coding solutions among risk-bearing providers (eg, health systems, ACOs, provider groups, IPAs). +… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Job Summary: The DRG Validator will be responsible for coding reviews for the purpose of coding and DRG optimization. Must have ... thorough knowledge of medical terminology, ICD codes and coding guidelines. Strong oral and written communications skills is required and be proficient in working… more
- Catholic Health (Buffalo, NY)
- …coded utilizing International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) classifications. ... Junior Medical Coders as necessary. Responsibilities: EDUCATION + Active coding certification CCS, CCS-P, CPC, CPMA or COC From...Candidates are required to take and successfully pass HCS coding test EXPERIENCE + Minimum of 3 years professional… more