- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... documentation, and/or inpatient coding and has a high level of understanding of...limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications,… more
- Datavant (Albany, NY)
- …realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the ... team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct… more
- Humana (Albany, NY)
- …and help us put health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team consults and collaborates with coding ... professionals across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. + Will be a SME (Subject Matter… more
- Highmark Health (Albany, NY)
- … coding manager with scheduling, payroll, work queue assignment, and physician education . (25%) + Assists with production coding when and where needed. ... Network **Job Description :** **GENERAL OVERVIEW:** Primarily responsible for assisting the Coding Manager within the Coding Department. Assists in the… more
- Kaleida Health (Buffalo, NY)
- ** Coding Specialist** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description **Summary:** ... The coding specialist is responsible for coding , including,...must maintain credentials such as CCS or CPC certification. ** Education And Credentials** **Responsibilities:** Associate of Applied Science in… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Datavant (Albany, NY)
- …and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution. ... + Maintain a 95% coding accuracy rate and a 95% accuracy rate for...site-designated productivity standards. + Be responsible for tracking continuing education credits to maintain professional credentials. + Attend Datavant… 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 ... insurance billing and collection procedures and CPT and ICD-9 coding **Preferred Experience:** . + 3 plus years of...become part of Mount Sinai's unparalleled legacy of achievement, education , and innovation as we work together to transform… more
- 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 **Managers of DRG Coding & Clinical Validation** leads a high-performing team responsible for… more
- Northwell Health (Garden City, NY)
- …Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position Job ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more