- Humana (Albany, NY)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex...metrics-driven environment. If you are looking to work from home , for a Fortune 100 company that focuses on… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Coordinator 3 performs advanced administrative/operational/customer support duties that require… more
- Evolent (Albany, NY)
- …mission. Stay for the culture. **What You'll Be Doing:** Seeking a detail-oriented ** Clinical Rules Management, Associate Director** who will play a critical role in ... ensuring the accuracy and integrity of our clinical rule engine, impacting our clinical review...excellent interpersonal skills + Knowledge of ICD-10-CM and CPT coding assignments for billing in an outpatient or physician… more
- VNS Health (Manhattan, NY)
- OverviewLeads the clinical audit team and oversees quality improvement initiatives with a primary focus on Medicare STARS and clinical program performance for ... member engagement, and audit oversight. This role will be the primary clinical point of contact for STARS and quality initiatives while supporting strategic… more
- Molina Healthcare (Albany, NY)
- …4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical ... decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of… more
- CenterWell (Liverpool, NY)
- …from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization ... internal transfer of patients between branch offices. + If clinical , receives lab reports and assesses for normality, fax...she practices + Have at least 1 year of home health experience. + Prior packet review / QI… more
- Mount Sinai Health System (New York, NY)
- …Description** Under direct supervision of the Director of Pharmacy and Clinical Coordinator, this Specialty Pharmacy Financial Access Coordinator (I) interacts with ... hospital employees on multiple levels, including pharmacists, medical/ clinical staff, fiscal personnel, department managers, access services staff, coding staff… more
- The New Jewish Home (Bronx, NY)
- The mission of The New Jewish Home is to empower older adults to enhance purpose and well-being through a portfolio of innovative health care services. We do this ... + Verifies insurance plan information, crosschecks patient Insurance ID card at home . + Accepts case assignment depending on clients' needs regardless of geographic… more
- Humana (Albany, NY)
- …is a full-time, remote/work-from- home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + Medical...managing diverse priorities, adept at swiftly transitioning between tasks based on urgency and demand with minimal instruction. +… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Clinical Insights & Program Design (CIPD) Analytic Solutions Team is part of the ... Clinical Analytics organization at Humana. We work closely with...logic, and converting operational data into analytic/modeling datasets + ** Coding ** : SQL and Python/Pyspark will be your primary… more