- Sumitomo Pharma (Albany, NY)
- …Strong knowledge and experience with pharmaceutical data sources (ie, IQVIA, SHA, MMIT/ DRG formulary / market access data). + Excellent team player and collaborative ... skills. + Strong project management skills and managing external vendors/ deliverables within tight timelines. + Strategic partner to multiple cross-functional stakeholders. + Proven success in developing analyses with Business Intelligence tools and methods… more
- Independent Health (Buffalo, NY)
- …+ Knowledge of healthcare concepts and healthcare data, for example CPT, HCPCS, DRG , ICD-10/ICD-9 Code, etc. + Knowledge of industry analytical concepts (courses of ... certification preferred). + Fundamental knowledge of data mining concepts, including machine learning algorithms. + Knowledge of software for statistical analysis and data mining: SQL, SAS, R, Python, etc. + Excellent problem-solving, interpersonal,… more
- Mohawk Valley Health System (Utica, NY)
- …AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities + Assign the appropriate DRG based on an analysis of the patient file and medical necessity + Assign ... diagnosis and procedure codes, for accurate and timely billing of most appropriate payer + Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in collaboration with providers + Initiate and follow up on queries with providers +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …for workflow enhancements. + Evaluates Prospective Payment System (PPS) (eg APC, DRG , etc.) grouping and pricing information. + Meets individual and departmental ... standards in regards to quality and productivity. + Strong organizational, analytical and writing skills. + Excellent verbal and communication skills. + Maintain good working relationships within and outside of the department. + Provides expertise and… more
- WMCHealth (Kingston, NY)
- …entry function. Review inpatient abstracting and correct errors. + Evaluate selected DRG ensuring appropriate cc are captured if applicable. + Maintain professional ... rapport with physicians; contact physicians in questionable cases, suggest inservices, attend inservices given by physicians, ask questions, assist physicians in clarifying coding/clinical issues. + Participate in coding audits/PI monitors to ensure quality of… more
- Datavant (Albany, NY)
- …+ Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS- DRG assignments + Maintain a minimum production of 1 chart per hour or site-specific ... productivity benchmarks + Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues + Occasionally travel for professional development or meetings, if required **What You Need to… more
- Albany Medical Center (Albany, NY)
- …but not limited to meeting continuing education requirements. Strong understanding of MS- DRG and NY-APR methodologies. This position is fully remote, and equipment ... is provided. Applicant must be able to maintain a remote work location to protect patient information and adhere to both HIPAA and Hospital Privacy policies. 3M 360 necessary. EPIC experience is a plus. Must have experience using a hospital encoder. Applicants… more
- Catholic Health Services (Bethpage, NY)
- …determine whether MCG criteria is met. Engage physicians to establish the optimal DRG , length of stay and expected date of discharge. Interface with representatives ... of third party payors to assist with the certification process and the discharge planning process, responding to requests for reviews in a timely fashion to avoid denials. Review records and collaborate with the interdisciplinary team to obtain information… more
- Claxton-Hepburn Medical Center (Carthage, NY)
- …Codes charts under the ICD-10-CM and HCPCS System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome ... of information gathered is used to determine the hospital database and reimbursement of hospital claims. EDUCATION: Required: + High school diploma or equivalent Preferred: + Three to five years of post-secondary education related to an Associate's Degree in… more