- City of New York (New York, NY)
- …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer who will: - Conduct legally mandated case reviews...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… more
- City of New York (New York, NY)
- …all statutory, regulatory and contractual standards. Within AO, is the Office of Quality Assurance & Fiscal Integrity conducts complex internal audits and quality ... identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need… more
- City of New York (New York, NY)
- …IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity ensures the integrity, efficiency, and regulatory ... legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with… more
- Independent Health (Buffalo, NY)
- …a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM ... knowledge and auditing skills evidenced by their ability to train others, to identify coding patterns and share knowledge and audit tips across the team. The… more
- Albany Medical Center (Albany, NY)
- …with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied ... and state regulations and insurance carrier guidelines. Ensuring established productivity and quality standards are met. Complex coding skill set required to… more
- CVS Health (Albany, NY)
- …Minimum of 1 year recent and related experience in medical record documentation review , diagnosis coding , and/or auditing. + CPC (Certified Professional Coder) ... all with heart, each and every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …over read assignments. May support vendor discussions and feedback related to quality audit findings. Presents results and learning opportunities to the ... coding . This position is responsible for risk adjustment coding and quality assurance validation for the...retrieving medical records from providers to the plan for review , data element verification, ICD-9-CM / ICD-10-CM coding… more
- UHS (Binghamton, NY)
- …ensure compliance with coding standards, support staff development, and help drive quality outcomes across our facility coding units. At UHS, we believe that ... provide regular, constructive feedback on individual and team performance. + Perform quality assurance audits for coding accuracy, completeness, and compliance… more
- Mohawk Valley Health System (Utica, NY)
- … issues. + Ensure coders have the necessary training, education and support. + Review coding audits, identify areas of concern and make recommendations for ... coders (inpatient and outpatient) to ensure effective and efficient coding operations. Also, this role will audit ...experience. + 5 years of hospital-based inpatient and outpatient coding /auditing/chart review experience, with a focus on… more
- CenterWell (Albany, NY)
- …and internal business rules to respond to inquiries and issues. **Post-Visit/Offshore Coding Collaboration:** + Perform Quality Assurance on post-visit reviews. ... (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address...positive, collaborative mindset to foster partnership within and the Coding , Audit , and Education department, the PCO,… more