- CenterWell (Albany, NY)
- …and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis ... and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and...to 20% travel nationally within CenterWell markets **Work at Home Requirements** To ensure Home or Hybrid… more
- Humana (Albany, NY)
- …documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding guidelines specific to Ambulatory Payment ... community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records...completeness, specificity and appropriateness of procedure codes based on services rendered + Review medical… more
- Catholic Health Services (Melville, NY)
- …has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. ... work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient,...was named Long Island's Top Workplace! Job Details The Coding Educator position is high profile and requires a… more
- 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
- UHS (Binghamton, NY)
- …facility and/or professional billing. Researches, analyzes, and responds to inquiries regarding coding and documentation compliance in accordance with all coding ... with coding , documentation, and billing questions to ensure compliant coding and billing. Develop education materials to address issues or new requirements… more
- Garnet Health (Middletown, NY)
- …that provides the best of both city and rural life, we invite to make your career home with us as a CLinical Documnetaion Specialist on our CDI team at/in Garnet ... Medical Center. Responsibilities Under the direction of The Administrator, Coding & Clinical Documentation Improvement and Patient...CDI industry * Strong knowledge of ICD 10 diagnosis coding , CPT Coding guidelines and DRG- based… more
- Molina Healthcare (Syracuse, NY)
- JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services, length of stay and… more
- University of Rochester (Rochester, NY)
- …contraceptive use patterns and GLP-1 medication exposure. + Conducts code- based queries, phenotype identification, cohort development, and variable construction. + ... deduplication, missingness assessment, outlier handling, and normalization of structured clinical concepts. + Performs data quality checks and maintains logs… 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)
- …Nurse Auditor 2 validates and interprets medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to conduct a ... community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis … more