- Mohawk Valley Health System (Utica, NY)
- Manager Coding - Full Time -...will audit the most complex service records to ensure coding and documentation accuracy and compliance . Contributes ... Days Department: CODING Job Summary The Manager Coding will manage and oversee a...Accountable for code assignments, applying expertise and knowledge of compliance , official coding guidelines and revenue cycle… more
- CVS Health (Albany, NY)
- …Quality Control and Compliance : Maintains oversight of coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with ... Special Investigations Unit. Key Responsibilities: + Leadership: Leads a team of coding /nursing professionals who conduct reviews of medical records and claims for… more
- Datavant (Albany, NY)
- …will: + Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment ... vendors + Provides expertise as it relates to coding compliance for new and existing services,...educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and… more
- Highmark Health (Albany, NY)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for… more
- University of Rochester (Rochester, NY)
- …to educate and train HIM coders coding and coding updates. Provides education to ensure compliance of coding either to an individual or to ... service. - Oversees, monitors or performs internal audits of coding to determine compliance with coding...functions for more than ten employees in conjunction with Coding Manager . Perform 90 day and annual… more
- Mohawk Valley Health System (Utica, NY)
- … Coding Audit and Education is responsible for overseeing medical coding accuracy, compliance , and education initiatives within the Medical Group. ... best practices. Applies experience in medical coding , team leadership, compliance regulations, and education methodologies. Core Job Responsibilities +… more
- Trinity Health (Syracuse, NY)
- …and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations. ... (HCC), and MEAT standards. . Exercise a thorough understanding of ICD-10-CM coding guidelines, payer regulations, compliance and reimbursement, and the effects… more
- Independent Health (Buffalo, NY)
- …skills. Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to prepare quantitative ... by reviewing medical record documentation and/or provider claims data. Ensure coding compliance with industry standard ICD-10-CM and ICD-10-PCS coding… more
- Datavant (Albany, NY)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance , and optimizing service outcomes in both hospitals… more
- Mount Sinai Health System (New York, NY)
- …Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and ... Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical role in testing,... Analyst** will play a critical role in testing, coding , modeling, and reporting on Hospital Billing (HB) and… more