- Molina Healthcare (NY)
- …data and industry knowledge. Collaborates across departments to design and implement systems changes to meet encounter data processing and submission goals. + Writes ... business requirements for system updates to resolve errors and optimize encounter performance...organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina employees: If you… more
- Catholic Health Services (Melville, NY)
- …is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home ... documentation education and issues. + Extract and analyze complex data from various systems and turn into meaningful action based information for end users. Uses… more
- Ideal Home Care (Islandia, NY)
- …coding courses, including healthcare terminology, ICD-10, CPT, HCPCS coding systems , insurance claims, reimbursement processes, and regulatory compliance. + ... Prepare students for certification exams such as the CPC (Certified Professional Coder ), CCA (Certified Coding Associate), and other relevant credentials in the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains accuracy in ... record documentation, billing of medical services, and health care reimbursement systems . * Comprehensive understanding and prior experience of ICD-9, ICD-10, and… more
- Evolent (Albany, NY)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment… more
- Stony Brook University (Commack, NY)
- …education training for new employees. + Assess and provide feedback to each coder on their work performed. + Development of reinforcement training for existing staff ... CM books + Provide education to the CDI staff on the Inpatient Prospective Payment System . + Provide education to the CDI staff on the use of Official Coding… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... standardized system , ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in… more
- Citigroup (New York, NY)
- …and engineering excellence skills with years of development experience. Applicable experience as a coder in large systems and experience working at scale with On ... Prem and SaaS products. + Strong experience in financial sector, preferably banking industry. Tableau certifications highly preferred. **Job Family Group:** Technology **Job Family:** Applications Development **Time Type:** Full time **Primary Location:** 388… more
- CDPHP (Latham, NY)
- …within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of experience in an HMO, ... knowledge preferred. + Experience in claims adjudication, billing and enrollment systems , product or pricing is preferred. + Experience with Microsoft Office,… more
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