- Albany Medical Center (Albany, NY)
- …E/M coding and documentation. 12. Submitting appeals for clinical validation in compliance with ICD 10 coding guidelines and review of recent literature. 13. ... of PSIs and HACs and on reviewing mortalities. CDI Auditor Job Description Summary This supervisory position will lead... and documentation.12. Submitting appeals for clinical validation in compliance with ICD 10 coding guidelines and… more
- Capital One (New York, NY)
- Principal Auditor - Cyber, Risk and Analysis Technology Audit Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality ... Capital One is seeking an energetic, self-motivated Principal Technology Auditor with experience evaluating and analyzing technology and cybersecurity risks… more
- WMCHealth (Valhalla, NY)
- … System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is ... Ambulatory Practice Coder/ Auditor Network- ON-SITE Company: NorthEast Provider Solutions Inc....Responsibilities: + Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for coding … more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Trinity Health (Albany, NY)
- …and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations. ... Category (HCC), and MEAT standards. . Exercise thorough understanding of ICD-10-CM coding guidelines, payer regulations, compliance and reimbursement and 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 ... Compliance Billing, Coding , and Education Analyst** Provides compliance oversight and support for assigned clinical specialties across URMC and Affiliates… 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
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee … more
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more