- Huron Consulting Group (NY)
- …are now and create your future. Baystate Health is seeking a strategic and results-driven Director of Hospital Coding Operations to lead and optimize coding ... Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new… more
- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing ... coding and clinical decisions on cases involving complex clinical ...appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of… more
- Evolent (Albany, NY)
- …addressing regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department ... and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. +… more
- Mount Sinai Health System (New York, NY)
- …with reviewing and maintaining claim edits and identify edit discrepancies based on coding guidelines and make recommendations to Associate Director for updates ... + Previous experience with EPIC EMR system + Strong clinical and analytical skills to evaluate appropriate Medical Record...and changes. + Work with Associate Director to implement and maintain on-going coding … more
- Mohawk Valley Health System (Utica, NY)
- …to optimize reimbursement and quality measures. + Track, trend, and analyze individual and departmental coding KPIs and report up to the Director of CDI and ... Manager Coding - Full Time - Days Department: CODING Job Summary The Manager Coding will manage and oversee a team of coders (inpatient and outpatient) to… more
- Catholic Health (Lewiston, NY)
- …Days Hours: Monday - Friday, 8am - 4pm (varied) Summary: The System Director Clinical Practice Management & Practice Operations Primary Care is responsible ... newly acquired physician practices; and complete other duties as assigned. The System Director develops a clinical support staff plan, and provider on-call and… more
- Kaleida Health (Buffalo, NY)
- ** Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... of equity and inclusion where diversity is valued and celebrated!_ **Position** Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management |… more
- Datavant (Albany, NY)
- …to deliver complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
- Humana (Albany, NY)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Albany, NY)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more