- WMCHealth (Valhalla, NY)
- …Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist ... coding improvement activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** General Purpose Leads the Quality Assurance team for clinical research conducted at CHeT. Ensures clinical data quality, ... regulatory compliance, and integrity of research documentation while collaborating with internal leaders and Principal Investigators. Ensures that CHeT is … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
- Wolters Kluwer (New York, NY)
- …action (CAPA)plans, with oversight of complaint trending, post-market surveillance, clinical evaluation, design control, and risk management activities. You will ... also work cross functionally within the business teams in Legal, Regulatory, Clinical , Marketing, and Product Development and within the broader Wolters Kluwer… more
- Trinity Health (Albany, NY)
- …Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and ... current industry standards of ethical coding. Recognizes and reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit… more
- Molina Healthcare (NY)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... of department interventions + Creates, manages, and/or compiles the required documentation to maintain critical program milestones, deadlines, and/or deliverables +… more
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