- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- JOB TITLE: Professional Coding Educator/Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non- Exempt Hourly) LOCATION: 696 Dutchess Turnpike Poughkeepsie NY ... Valley. At Premier Medical Group, we are dedicated to delivering outstanding, quality healthcare across our community and beyond. Our large and diverse network is… more
- Humana (Albany, NY)
- …and help us put health first** We are seeking a Senior Accreditation Professional who will work in a team environment on Humana's health plan accreditations, ... performing complex tasks related to compliance with accreditation standards across multiple operational areas within...Medicaid health plan experience. + Advanced degree in a healthcare -related field. **Work at Home Requirements** To ensure Home… more
- Humana (Albany, NY)
- …and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of ... encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions ... and approaches to assignments. The Senior Formulary Operations Management Professional collaborates with healthcare professionals, pharmacists, and other… more
- Humana (Albany, NY)
- …caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management ... Professional work assignments are varied and frequently require interpretation...to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools… more
- Hillside Family of Agencies (Rochester, NY)
- Shift: Mon-Fri 10:00am-6:00pm Job Summary The Qualified Intellectual Disability Professional (QIDP) is responsible for overseeing the implementation of each person's ... monitoring progress, coordinating care, and ensuring quality services are provided in compliance with OPWDD regulations. The role is essentially acting as the… more
- Humana (Albany, NY)
- …community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns ... of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments. Analyzes,… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a ** Professional , Quality Analyst** to join #TeamMVP. This is the opportunity for you ... if you have a passion for healthcare , innovation, and collaboration. **What's in it for you:**...of data governance policies, standards, and procedures, and ensure compliance with regulatory requirements and industry best practices. +… more
- CenterWell (Albany, NY)
- …our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Professional 2 work assignments are varied and frequently require interpretation and… more
- CVS Health (Albany, NY)
- …do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance ... through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct… more