- Datavant (Albany, NY)
- …in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow ... cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in a professional, efficient… more
- CenterWell (Albany, NY)
- …internal business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance . + Follows state and federal ... calls/chart reviews. + May participate in provider education programs on coding compliance . + Exercises independent judgment and decision making on complex issues… more
- Mount Sinai Health System (New York, NY)
- …payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical ... requires a unique blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations and collaborate with staff to resolve issues and… more
- Bassett Healthcare (Milford, NY)
- …more areas of operation at the highest level such as Master Scheduler or Coder as observed by Manager with feedback from the Application Manager/Trainer + Provides ... due date on all assigned staff as observed by manager + Ensures compliance with procedures, policies, and regulatory requirements. Assists with the development and… more
- Humana (Albany, NY)
- …across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. + Will be a SME (Subject Matter Expert) medical ... coder with in-depth experience in inpatient coding audits (MSDRG/APDRG)...coding audits (MSDRG/APDRG) + Contributes to overall accuracy and compliance of coding disputes reviews ensuring that all appropriate… more
- Oracle (Albany, NY)
- …services that require data to travel long distances, but have to abide by compliance and regulations. The ideal candidate will be technically strong and get a lot ... develop security solutions + FedRAMP, PCI DSS, or similar compliance and auditing experience + Experience working with large...this platform. You should be both a rock solid coder and a distributed systems generalist, able to dive… more
- Catholic Health Services (Melville, NY)
- …perform, track, trend, and report on internal quality reviews based on compliance plan and/or independent data analysis. Develop action plans working directly with ... data to drive decisions. + Maintains current knowledge of coding, compliance and documentation guidelines and trends for assigned departments/specialties. POSITION… more
- Ideal Home Care (Islandia, NY)
- …medical billing processes, coding diagnoses and procedures, and ensuring compliance with healthcare regulations. Key Responsibilities: + Curriculum Delivery: Teach ... HCPCS coding systems, insurance claims, reimbursement processes, and regulatory compliance . + Instructional Methods: Utilize a variety of instructional techniques… more
- Oracle (Albany, NY)
- …You have experience working with services that require to abide by security, compliance and regulations. The ideal candidate will own the software design and ... for major components of Oracle's Cloud Infrastructure. You should be both a rock-solid coder and a distributed systems generalist, able to dive deep into any part of… more
- Cognizant (Albany, NY)
- …role, you will:** + Review health plan-specific reimbursement policies for compliance with contractual and regulatory requirements. + Create and maintain table-based ... physician billing. + Certification as a Professional Biller (CPB) or Professional Coder (CPC). **Salary and Other Compensation:** Applicants will be accepted till… more
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