- Catholic Health (Cheektowaga, NY)
- …Exempt: Yes Work Schedule: Days Hours: 7a-3:30p, hours may vary Summary: The Director Medical Coding and Chart Audit Services - HCS will be responsible ... overseeing professional outpatient coding and chart auditing services as well as facilitating medical documentation...services , professional medical coders, auditors and coding vendors. Overall, the director will leverage… more
- CVS Health (Albany, NY)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise ... Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight...will focus primarily on review appeal cases for denied medical services . This includes First Level Appeals… more
- CVS Health (Albany, NY)
- …First Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement ... the ability to obtain a NJ License. In the Medical Director role you will provide oversight...providers and facilities to support the effective execution of medical services programs by the clinical teams.… 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) ... and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical...to ongoing Revenue Cycle success. The HMS HIM & Coding Director leads the Baystate HIM &… more
- Intermountain Health (Albany, NY)
- …and financial success across the integrated health system, including vendor-supported services . The leader ensures coding practices are accurate, compliant ... for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more...and/or a relocation bonus when applicable. As the Senior Director of Hospital Coding , you will: +… 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 ... services and residential healthcare facility. Responsibilities: + Ensure timely and accurate coding for all healthcare services perform at the organization to… more
- Kaleida Health (Buffalo, NY)
- …detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the ... services billed, including E/M and other third party payor codes, medical necessity of services , reimbursement overpayments and underpayments, and compliance… more
- Independent Health (Buffalo, NY)
- …for all reconsideration clinical appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of all ... and financial recoupment statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims… more
- Mohawk Valley Health System (Utica, NY)
- … coding operations. Also, this role will audit the most complex service records to ensure coding and documentation accuracy and compliance. Contributes ... to optimize reimbursement and quality measures. + Track, trend, and analyze individual and departmental coding KPIs and report up to the Director of CDI and … more
- Humana (Albany, NY)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more