- Northwell Health (Lake Success, NY)
- …compliance with all laws and regulatory requirements. Oversees and promotes system-wide coding compliance to applicable laws, regulations, and coding ... billing non- compliance . + Oversees and promotes the system-wide compliance coding standards. + Monitors and audits established regulations, policies and… more
- 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 ... This role is central to ensuring accurate, compliant, and efficient coding practices that directly impact revenue cycle performance and clinical documentation… more
- St. Mary's Healthcare (Amsterdam, NY)
- … operations with organizational strategy. + Participate in long-term planning for coding staffing, technology adoption, and compliance initiatives. + Oversee ... of computer-assisted coding , EMR integration, and auditing tools. + Maintain compliance with CMS, OIG, and other regulatory guidelines + Oversee routine internal… more
- Evolent (Albany, NY)
- …addressing regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department ... Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and… more
- Independent Health (Buffalo, NY)
- …skills. Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to prepare quantitative ... by reviewing medical record documentation and/or provider claims data. Ensure coding compliance with industry standard ICD-10-CM and ICD-10-PCS coding… more
- Mohawk Valley Health System (Utica, NY)
- …Also, this role will audit the most complex service records to ensure coding and documentation accuracy and compliance . Contributes to revenue and strategic ... Accountable for code assignments, applying expertise and knowledge of compliance , official coding guidelines and revenue cycle...measures. + Track, trend, and analyze individual and departmental coding KPIs and report up to the Director… more
- Ankura (New York, NY)
- …globally recognized independent experts who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges. ... Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices focused on client… more
- Datavant (Albany, NY)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- Mount Sinai Health System (New York, NY)
- …operations and reducing denials. ? Expertise in authorization, registration, billing, coding , reimbursement methodologies, and regulatory compliance . ? Deep ... **Job Description** ** Director of Revenue Engagement- Patient Financial Services-Corporate 42nd Street -Full-Time Days** The Director of Revenue Engagement acts… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... requires an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical background, experience, and judgement to make… more
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