- Centene Corporation (New York, NY)
- …processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission ... standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute… more
- Nuvance Health (Poughkeepsie, NY)
- …the Home Care organizations. *Summary:* Appropriately analyzes and codes complex inpatient records for facility. Position requires high-level expertise in coding and ... documentation guidelines, coding clinics, and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance. *Responsibilities:* * Perform ICD-10- CM/PCS to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95% *… more
- Datavant (Albany, NY)
- …life experiences to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing consulting and educational ... shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a...HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary… more
- Datavant (Albany, NY)
- …life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational ... the future of healthcare from your own workspace! Seeking Inpatient Auditor proficient in MS-DRG and APR-DRG **What You...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
- Garnet Health (Middletown, NY)
- …Medical Center Middletown. Responsibilities Responsible for coordinating and supervising inpatient and outpatient coding and abstracting functions at Garnet Health ... Minimum Experience: + At least two years' experience of Inpatient and Outpatient coding in a supervisory capacity or...coding in a supervisory capacity or as a Lead Coder required. + At least four years recent coding… more
- Albany Medical Center (Albany, NY)
- …Integrity educational program for CDI specialists and providers, in both inpatient and outpatient setting, including: 1. Working with program leadership to ... Integrity educational program for CDI specialists and providers, in both inpatient and outpatient setting, including:1. Working with program leadership to plan,… more
- Mount Sinai Health System (New York, NY)
- …Degree or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, with experience in ... health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient , and/or outpatient charges with accurate data entry of codes. Ensures… more
- Mount Sinai Health System (New York, NY)
- …accuracy, regulatory compliance, revenue integrity, and operational efficiency for both inpatient and outpatient services. The Senior Director will lead a ... Operational Oversight - Direct daily operations of coding teams for inpatient , outpatient, and professional services. - Oversee coding workflows, audit response,… more
- Molina Healthcare (Buffalo, NY)
- …of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding, ... group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical… more
- Datavant (Albany, NY)
- …both hospitals and alternative care settings. **Seeking Profee Interventional Radiology coder . Requires expertise in capturing Interventional Radiology CPTs, DX, RVU ... assignment, modifiers, and knowledge of NCCI edits. Chart mix includes both inpatient and outpatient. Epic 3M360 systems.** **What You Will Do:** + Review medical… more