- Kaleida Health (Buffalo, NY)
- …**Work Type** : Full-Time **Shift 1** **Job Description** **The Physician Coding Auditor is a member of the Internal Audit and Corporate Compliance ... ** Coding Auditor ** **Location:** Larkin Bldg @...Requirement - Sedentary (10 lbs) **Job Details** Department: KH Internal Audit and Compliance Standard Hours Bi-Weekly:… more
- Highmark Health (Albany, NY)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities.… more
- Northwell Health (Garden City, NY)
- …reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and ... - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Validates Acute Inpatient coded charts… more
- CVS Health (Albany, NY)
- …healthcare providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as ... policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as… more
- Humana (Albany, NY)
- …Inpatient medical coding , analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one of the following AHIMA ... caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and… more
- Northwell Health (Westbury, NY)
- …are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes on ... or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home...Medicare/non-Medicare charts for compliance to rules and conventions. + Instructs professional staff… more
- SUNY Upstate Medical University (Syracuse, NY)
- …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
- Molina Healthcare (Buffalo, NY)
- …of risk adjustment payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** ... Develop and implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and… 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
- KeyBank (NY)
- …analysis, and/or reporting typically achieved through work as a: business, data, operations, compliance , or risk analyst; internal auditor ; or role that ... Mine, explore, and analyze data to identify trends and outliers, evaluate compliance with internal policy/procedures and/or regulatory requirements, and assess… more