- Centene Corporation (New York, NY)
- …(DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation ... analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Datavant (Albany, NY)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...+ Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. + Working… more
- Humana (Albany, NY)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
- Trinity Health (Syracuse, NY)
- …assessed and validated on an encounter, with notation of any invalid diagnoses. + RA Coding Auditor Educator will be the primary point of contact for Excellus ... Education if needed. Auditing Experience Posting **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and… more
- Datavant (Albany, NY)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- Molina Healthcare (Buffalo, NY)
- …payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education** ... Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote ...programs + In-depth knowledge of ICD, CPT, and HCPCS coding as well all billing, CCI, MUEs, and other ... Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, Rochester, or Syracuse, NY Planned...relevant coding /billing guidelines + Ability to read and interpret medical… more
- CIBC (New York, NY)
- …visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **What you'll be doing** The Senior Auditor , Risk Management will primarily assist in developing and ... days per week on-site, while other days will be remote ._ **How you'll succeed:** + **Audit execution** - Assess...attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process… more
- Trinity Health (Albany, NY)
- …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a ... in relation to risk adjustment payment models. . Identify coding discrepancies and work with risk adjustment auditor...to sit for long periods of time. . 100% remote but if local may include some travel to… more
- WMCHealth (Valhalla, NY)
- Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support ... internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of… more