- Rochester Regional Health (Rochester, NY)
- Job Title: Director , CDI Department: Clinical Documentation ImprovementLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am - 4:30pmSUMMARY ... The Clinical Documentation Improvement Director provides a key...of the healthcare team to ensure accurate and timely clinical documentation in the medical record. RESPONSIBILITIES… more
- Mount Sinai Health System (New York, NY)
- …EMR system + Strong clinical and analytical skills to evaluate appropriate Medical Record Coding + Currently credentialed as CPC and/or CCS certifications ... with reviewing and maintaining claim edits and identify edit discrepancies based on coding guidelines and make recommendations to Associate Director for updates… 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 ... provider practices as well as Catholic Health and Trinity Medical WNY practices as assigned. The System Director...practices; and complete other duties as assigned. The System Director develops a clinical support staff plan,… more
- Guidehouse (New York, NY)
- …remote **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue ... claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate...+ Experience in ICD-10, CPT and HCPCS Level II Coding . + Expertise in determining medical necessity… more
- CVS Health (Albany, NY)
- …from anywhere within the US** We are seeking an innovative and experienced ** Director of Engineering Clinical AI** to lead our initiatives in **developing ... Health Records (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD10). + Experience… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of… more
- Humana (Albany, NY)
- **Become 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 work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Albany, NY)
- … Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance,… more
- Highmark Health (Albany, NY)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding … more