- Trinity Health (Albany, NY)
- …required. Must have 5 or more years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with ... toward the improvement and integrity of clinical documentation through the role of auditor and educator to support the healthcare systems participation in… more
- Elevance Health (Latham, NY)
- … Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
- Trinity Health (Syracuse, NY)
- …required. Must have 5 or more years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with ... - Certified Documentation Expert Outpatient (CDEO) or Certified Clinical Documentation Specialist-Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… more
- Centene Corporation (New York, NY)
- …highly preferred.** **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation , and modify business processes to measure member ... outcomes. Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits...care through clinical case reviews. + Lead clinical audits for provider medical records both remotely via… more
- Kaleida Health (Buffalo, NY)
- …for audits to determine organizational integrity of billing for physician and clinical fees, including detection and correction of documentation , coding and ... **Coding Auditor ** **Location:** Larkin Bldg @ Exchange Street **Location...consist of evaluation of the adequacy and accuracy of documentation in support of services billed, including E/M and… more
- Datavant (Albany, NY)
- …adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
- Highmark Health (Albany, NY)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
- Northwell Health (Westbury, NY)
- …and visiting nurses those Medical Records that are deficient in diagnosis and clinical documentation . + Reviews Outcome Assessment Information Set (OASIS) and ... visit documentation for errors and inconsistencies related to clinical documentation , including wounds. + Discusses findings related to OASIS reviews and… more
- Northwell Health (Garden City, NY)
- …by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI ... HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the diagnostic… more
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