- 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)
- …+ Provide monthly performance data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans for ... educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager** is essential to the Provider HIM Coding division.… more
- Coinbase (Albany, NY)
- …and fully supported. *_* *Team / Role Paragraph:* Coinbase is looking for an Internal Audit IT Senior to join the Internal Audit team focusing primarily on ... US (Remote) and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible...to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a… more
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, 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 ... Academic/Trauma Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding,… more
- Molina Healthcare (Rochester, NY)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding . **Job Summary** Utilizing clinical knowledge and experience, ... decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and ...two years of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for quality review by the applicable business area. + Acts as ... agencies. Essential Accountabilities: Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets… more
- Datavant (Albany, NY)
- …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review ). You will manage ... regulations and best practices related to prospective risk capture and concurrent review . **Compliance & Quality :** + Partner with Legal, Compliance, and… more
- Mount Sinai Health System (New York, NY)
- …the charge capture process. + Coordinate with payers to ensure timely handling of audit requests, review technical payer denials, determine if an appeal is ... of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving abilities, excellent… more
- Lockheed Martin (Owego, NY)
- …Participate in Peer Reviews for selected systems and software work products \(code review \) to ensure quality and compliance with standards\. Participate in ... Identify specific Software Quality Assurance risk areas to be considered for audit , and analyze systems and software quality metrics to identify trends and… more
Recent Jobs
-
Senior SEC Reporting Accountant
- vaco (Highland Park, TX)
-
Manufacturing Engineer, Strategic Initiatives
- Legend Biotech USA, Inc. (Raritan, NJ)
-
Future Talent Program - Associate Specialist, Engineering (Hybrid)
- Merck & Co. (Durham, NC)
-
Veterinarian
- NVA (Oswego, NY)