- 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. Facilitates obtaining appropriate clinical documentation for any clinical … more
- Excelsior Orthopaedics Group (Amherst, NY)
- …assigning CPT, ICD-10-CM, and HCPCS Level II codes for surgical and clinical procedures, ensuring accurate reimbursement, coding compliance, and efficient ... billing processes. The ideal candidate has strong knowledge of orthopedic coding , ASC-specific billing practices, and payer regulations. Duties and Responsibilities… more
- St. Mary's Healthcare (Amsterdam, NY)
- …with the Providers and Office Managers to foster strong relationships with the coding team in the query process and clinical documentation improvement process. ... with facility specific goals. Acts as the subject matter expert for coding and handles coding staff issues as they pertain to coding , charge entry,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Operations) and supporting systems. (BREADTH). + Expertise in complex clinical coding /reviewing assignments, difficult investigations and highly visible ... of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of… more
- WMCHealth (Valhalla, NY)
- …trend analysis. + Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + ... Coordinator reviews and revises accounts to achieve revenue enhancement and billing/ coding compliance. This position updates and reviews accounts to ensure accurate… more
- Mount Sinai Health System (New York, NY)
- …of Epic (required) and Meditech (preferred) systems, and collaborate cross-functionally with clinical , financial, coding , and IT teams to ensure accurate and ... an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …professional OB/GYN encounters. This position serves as a key liaison between coding , clinical , and compliance departments ensuring that all documentation and ... The role also includes providing ongoing education to OB/GYN providers and clinical staff on documentation quality, coding updates, and best practices… more
- Baylor Scott & White Health (Albany, NY)
- …Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors ... responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH).… more
- Weill Cornell Medical College (New York, NY)
- …This role is responsible for designing, managing, and evaluating comprehensive billing, coding , clinical documentation, and all other related education programs ... conducting compliance-related activities to provide guidance and support related to clinical documentation improvement, and coding reviews. + Support… more
- Humana (Albany, NY)
- …of audit findings and submits recommendations for appropriate change management. Applies clinical and coding experience to conduct reviews of provider codes ... first** The Manager, Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ensure that medical record documentation and… more