- Highmark Health (Albany, NY)
- …clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non- clinical teams to ensure operational guidelines are aligned ... as a primary owner of assigned medical policies, ensuring their accuracy, clinical soundness, and operational feasibility. A core responsibility of this position is… 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
- WMCHealth (Valhalla, NY)
- … improvement activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records ... competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and other duties as… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate and consistent ... surgical services at first level, appeal and inquiries. + Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review… more
- Saratoga Hospital (Saratoga Springs, NY)
- …services from payers. This position provides a vital link between inpatient coding , clinical documentation improvement, Patient Access (PA) and Patient Financial ... HIS inpatient accounts, working with HIS Coders, payers, Department Directors, Clinical Managers, Case Management, Patient Access, and PFS. Actively contributes to… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …analyze, extract and interpret patient financial data as it relates to clinical documentation and diagnosis/procedural coding of services provided. Expertise in ... College's monitoring program for accounting and financial control systems related to clinical revenue data. Develop, plan and evaluate monitoring program for the… more
- Ankura (New York, NY)
- …+ Ankura's payer team brings a combination of compliance, operations, audit, clinical coding , data analytics, financial, valuation, and systems professionals to ... support payer executives and their counsel with regulatory compliance, operations, disputes, investigations, and transaction support and due diligence. + Ankura's pharmacy team assists counsel across the entire spectrum of pharmacy benefits, including retail,… more
- Intermountain Health (Albany, NY)
- …Emergency Room Coder is responsible for accurately assigning ICD-10 CM ( Clinical Modification) diagnosis codes and Current Procedural Terminology (CPT) codes for ... is at an intermediate level of complexity and ensures compliance with coding guidelines, documentation requirements, and reimbursement policies, as well as ensures… more
- CTG (Buffalo, NY)
- …system deployments. **Skills:** + Strong knowledge of ICD-10-CM/PCS, CPT/HCPCS coding , clinical documentation workflows, and hospital/professional revenue cycle ... lead business analyst for CAC/CDI initiatives, partnering with Project Management, clinical leadership, IT, Compliance, and vendor teams. + Conduct current-state and… more
- Catholic Health (Buffalo, NY)
- …Hours: 8a-4:30p Summary: The Auditor/Educator will work cooperatively with CH coding associates, Clinicians, Outpatient Coding Managers, CDEI Education Manager ... Specialists, Corporate Compliance, Ancillary departments and private clients to ensure coding is consistent, accurate, and meets data integrity for use in… more
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