- CDPHP (Albany, NY)
- …values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis coding ... school diploma or GED required. Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist) or CPC/CPC-A (Certified Coding Professional) required. If… more
- Northwell Health (Westbury, NY)
- …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Job Responsibility 1.Leverages ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more
- Datavant (Albany, NY)
- …and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution. ... + Maintain a 95% coding accuracy rate and a 95% accuracy rate for...+ Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Function in a professional,… more
- Northwell Health (Westbury, NY)
- …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
- Humana (Albany, NY)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including...evaluation of variable factors. **Where you Come In** The Coding Quality Team is looking is an experienced and… more
- Kaleida Health (Buffalo, NY)
- …for opportunities to improve Provider documentation related to ICD-10 and CPT-4 coding and gaps in the clinical documentation. Facilitate modifications to ... ** Clinical Documentation Specialist Outpatient** **Location:** Buffalo General Medical...will perform concurrent and retrospective compliance reviews of the coding and documentation of diagnoses, medical procedures, and patient… more
- Humana (Albany, NY)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE The NICU Data Manager will apply specialized clinical knowledge regarding data definition, coding , and accreditation ... Neodata and internal databases which include demographic, maternal, pregnancy, delivery, clinical and outcome variables for NICU patients. Transform, create and… more
- Highmark Health (Albany, NY)
- …serves as a consultative subject matter and technical expert for clinical and population health analytics, leveraging advanced analytical expertise and experience ... recommendations to realize identified opportunities. This position will necessitate clinical informatics and medical knowledge. **ESSENTIAL RESPONSIBILITIES** + Leads… more
- Mohawk Valley Health System (Utica, NY)
- …denial management and response. + Expert understanding of medical terminology and clinical procedures + Comprehensive knowledge of ICD-10 coding guidelines and ... CDI III Educator Auditor - Full Time - Days Department: CLINICAL DOCUMENTATION IMPROVE Job Summary The CDI III Educator Auditor ( Clinical Documentation… more