- Trinity Health (Albany, NY)
- …(CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication skills. . ... provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations. Participates in… more
- Ideal Home Care (Hauppauge, 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
- Molina Healthcare (Yonkers, NY)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
- Datavant (Albany, NY)
- …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... training to staff, continually assessing and enhancing their competencies, including compliance with HIPAA. + Conduct timely and meaningful performance appraisals,… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …competency examinations, and presentations) + Works with Revenue Cycle leadership and Compliance determine areas of both risk and opportunity as well as provide ... setting, with 2 years experience in auditor role. Certified Professional Coder (AAPC, AHIMA)- Required Certified Medical Auditor Certification (AAPC)-Preferred or… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …ensure efficiency, accuracy, and completeness of encounters, claims and transactions in compliance with payer rules and regulations + Maintains and ensures a ... or equivalent combination of education and experience + Certified Professional/Medical Coder or Certified Professional Medical Auditor desired Experience- + Minimum… more
- Diageo (NY)
- … Code and policies; investigating and responding to potential breaches of the Code and policies; assessing how to minimize compliance risks; and ensuring ... effective, risk based, agile and future forward ethics and compliance program. The program is focused on bringing to...and local legislation. This includes maintaining and embedding our Code of Business Conduct (the Code ) and… more
- Amazon (New York, NY)
- …Compliance Manager to oversee and manage regulatory challenges, to include Fire Code Compliance . This includes Certificate of Fitness (COF) requirements for ... * Program Ownership: Develop, implement, and maintain a comprehensive fire code compliance program across all relevant sites. * Training & Certification… more
- Bassett Healthcare (Cooperstown, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports Ends calls by asking patient if there is anything else we can do for ... today as observed by Supervisor and as noted in compliance reports Takes clear, complete and accurate phone messages,(and...Acts as a lead in the event of a code . Ensures all staff are performing necessary actions during… more
- Bassett Healthcare (Cooperstown, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports. Ends calls by asking patient if there is anything else we can do for ... today as observed by Supervisor and as noted in compliance reports. Takes clear, complete and accurate phone messages,...Acts as a lead in the event of a code . Ensures all staff are performing necessary actions during… more