- 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
- 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
- DoorDash (New York, NY)
- …technologies (eg, applicant tracking systems, CRM, technical assessment platforms, coding challenge tools, interview scheduling automation) and streamline global ... with specific experience in tools used for technical assessments, coding challenges, and candidate relationship management for engineering talent....Notice to Applicants for Jobs Located in NYC or Remote Jobs Associated With Office in NYC Only We… more