- Elevance Health (New Hyde Park, NY)
- Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated posting ... eliminate and prevent unnecessary medical-expense spending. The **Manager of DRG Coding Audit** leads a high-performing team responsible for auditing inpatient… more
- Robert Half Finance & Accounting (Amsterdam, NY)
- …attention to detail. Responsibilities: * Process and verify invoices to ensure proper coding and compliance with company policies. * Manage vendor payments, ... with month-end closing activities and provide necessary documentation. * Ensure compliance with accounting regulations and company guidelines. * Participate in… more
- MetLife (Oriskany, NY)
- …correctly performing claim adjudication with the focus on Decisional, Financial, Claims Coding and Compliance Accuracy in accordance with the Customers' ... sessions to address metrics reviews and career development. Ensure 100% compliance of mandatory training courses. * Exhibits excellent interpersonal and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst ... outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** +… more
- The Rare Wine Co. (Brooklyn, NY)
- … Compliance Support: Aid in distributor appointments/terminations, control state coding , and manage territory agreements. Compliance Research: Monitor ... Compliance Associate Vieux Vins Group is a prestigious...and partners. Position Overview: We are seeking a mid-level Compliance Associate to join our energetic and talented team… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education ... plan tailored to each assigned provider. The Senior Coding Educator is responsible for creating and executing the...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management (CEVM) contributes to overall cost ... requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit operational processes and performance… more
- SUNY Upstate Medical University (Syracuse, NY)
- …actions. Review orders for appropriate clinical indications and provide ICD-10 coding . Monitor new billing/ compliance regulations for both the Hospital ... insurance demographic information and medical necessity pertaining to documentation and coding . Will interact with referring physicians, patients, hospital and MSG… more
- Datavant (Albany, NY)
- …educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...resource and subject matter expert to staff. + Ensure compliance with HIPAA regulations and requirements. + Completes all… more
- IBM (Poughkeepsie, NY)
- …Science, or similar field. * Input/Output and networking skills * Python coding and scripting * Experience with compliance (Product Safety, Electromagnetic ... **Introduction** At IBM, hardware compliance isn't just a requirement, it's a responsibility....that ensures IBM's enterprise hardware products meet rigorous global compliance standards. From IBM Z Mainframes to individual I/O… more