- CVS Health (Albany, NY)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...directing case management when necessary. The Medical Director will act as a business and clinical… more
- Catholic Health (Cheektowaga, NY)
- …from Overtime: Exempt: Yes Work Schedule: Days Hours: 7a-3:30p, hours may vary Summary: The Director Medical Coding and Chart Audit Services - HCS will be ... auditing services, professional medical coders, auditors and coding vendors. Overall, the director will leverage...coders, auditors and coding vendors. Overall, the director will leverage project management skills, clinical … more
- Huron Consulting Group (NY)
- …now and create your future. Baystate Health is seeking a dynamic and strategic Coding Director to lead and advance our Health Information Management (HIM) ... medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient...to ongoing Revenue Cycle success. The HMS HIM & Coding Director leads the Baystate HIM &… more
- St. Mary's Healthcare (Amsterdam, NY)
- …of such information according to regulations. + Identifies, implements, and maintains medical coding quality and compliance within regulatory and accreditation ... organization to include the oversight of coding staff to ensure accurate coding for reimbursement and clinical care. + Establish and monitor coder… more
- Independent Health (Buffalo, NY)
- …all reconsideration clinical appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of all ... benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing … more
- Evolent (Albany, NY)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… 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: ...and pediatrics. + Strong knowledge of anatomy, disease processes, medical terminology, pharmacology, and surgical procedures. + Proficient use… more
- 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
- 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more