- City of New York (New York, NY)
- …with all statutory, regulatory, and contractual standards. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer : - Conduct legally mandated case reviews to comply...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… 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 ... in professional fee coding - required Essential Duties and Responsibilities + Review , analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, ... and claims processing platform. . Manages case volumes and review / audit schedules, prioritizing case load as assigned...quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting. .… 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
- Datavant (Albany, NY)
- …provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to ... closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality … more
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...appropriate manager. + Prepare the final reports for the coding audit and actively participates in the… more
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience...preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- Capital One (New York, NY)
- … Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... to management via written reports and oral presentations. + Review and provide feedback on audit workpapers...multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take… more
- Capital One (New York, NY)
- … Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... a collaborative, agile environment to deliver value-added opinions and recommendations. Audit 's vision to provide high value, independent, proactive insights, to… more