- Datavant (Albany, NY)
- …This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance , and optimizing service outcomes in both hospitals ... Strong understanding of TP, Incident-To, and Split/Shared encounters, including related coding rules and compliance standards (highly preferred); Familiarity… more
- Albany Medical Center (Albany, NY)
- … processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance ... billing integrity reviews/audits for AMHS, including reviewing medical record documentation and coding to assess compliance with related rules and regulatory… more
- UHS (Binghamton, NY)
- …documentation. In this key leadership role, you will oversee daily operations, ensure compliance with coding standards, support staff development, and help drive ... feedback on individual and team performance. + Perform quality assurance audits for coding accuracy, completeness, and compliance with ICD-10-CM, APC, and APG… more
- UHS (Binghamton, NY)
- … coding and documentation audits. Research, analyze, and respond to inquiries regarding coding and documentation compliance in accordance with all coding ... with coding , documentation, and billing questions to ensure compliant coding and billing. Develop final audit reports based on findings/observations during the… more
- University of Rochester (Rochester, NY)
- …risk. **There are two pathways for the Compliance Analyst II (1: Compliance Billing, Coding , and Education Analyst,** **or** **2: Compliance ... Billing, Coding , and Education Analyst** Provides compliance oversight and support for assigned clinical specialties across...and Affiliates in accordance with the OIG and OMIG compliance program guidance. Evaluates adherence to coding … more
- Mohawk Valley Health System (Utica, NY)
- …Also, this role will audit the most complex service records to ensure coding and documentation accuracy and compliance . Contributes to revenue and strategic ... integrity leadership. Accountable for code assignments, applying expertise and knowledge of compliance , official coding guidelines and revenue cycle to solve… more
- Datavant (Albany, NY)
- …and roadmap execution + Reduction in time taken to create and operationalise coding projects + Maintenance of compliance with infrastructure limits and no ... healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy...MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard Data Specifications** : Develop and maintain… more
- WMCHealth (Valhalla, NY)
- …to providers and staff regarding accurate and complete medical record documentation and coding in compliance with established documentation and coding ... standards. Responsibilities: . Audits medical records to assure compliance with applicable coding and documentation standards. Manages query process that is… more
- St. Mary's Healthcare (Amsterdam, NY)
- … operations with organizational strategy. + Participate in long-term planning for coding staffing, technology adoption, and compliance initiatives. + Oversee ... of computer-assisted coding , EMR integration, and auditing tools. + Maintain compliance with CMS, OIG, and other regulatory guidelines + Oversee routine internal… more
- Cardinal Health (Albany, NY)
- …preferred; ASTRO and ACR-guideline knowledge a plus. + AAPC, AHIMA or HCCA Coding certification and or Auditing/ Compliance certification (CPC, CCS, CCS-P, COC, ... documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; medical terminology; E/M rules; healthcare compliance audit… more