- Catholic Health (Cheektowaga, NY)
- …Exempt: Yes Work Schedule: Days Hours: 7a-3:30p, hours may vary Summary: The Director Medical Coding and Chart Audit Services - HCS will be responsible for ... outpatient coding and chart auditing services as well as facilitating medical documentation improvements for the Catholic Health providers and Healthcare Solutions… more
- City of New York (New York, NY)
- …Child Welfare Programs, Youth and Family Justice, and Early Care and Education. The Medical Audit Unit within OCFH reviews foster care medical records ... record reviews as directed 4. Assisting with the implementation of an electronic medical audit data collection and scoring a tool The duties of this position… more
- City of New York (New York, NY)
- …for the Medical Review, Authorization and Monitoring Unit. - Manage the Medical Audit Unit, responsible for conducting annual external medical record ... audit agency informational/ policy review meetings for agencies scheduled for medical audit . - Work with Voluntary Foster Care Agency health care teams to… more
- Elevance Health (Latham, NY)
- … chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Cardinal Health (Albany, NY)
- … medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
- City of New York (New York, NY)
- …who will ensure that youth in ACS care and/or custody receive the best possible medical care. In doing so, the Audit Nurse will work closely with operations ... Division by ensuring that our youth receive comprehensive and consistent medical , mental health, case management, and social services throughout their involvement… more
- City of New York (New York, NY)
- …related to mental health and behavioral health - Provide partial oversight to the Medical Audit Team in developing and updating auditing and monitoring tools for ... Office of Child and Family Health (OCFH) delivers direct medical services to children entering foster care and ensures...custody of the ACS Commissioner - Develop and update audit and monitoring tools for assessing agency consent procedures… more
- Molina Healthcare (Albany, NY)
- …of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- The Research Foundation for SUNY at the University at Albany (Albany, NY)
- …employee medical leave requests as well as review of requests for Medical Accommodations. + Audit Preparation and Compliance: Produces support for audit ... color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status,… more
- Centene Corporation (New York, NY)
- …training and quality auditing programs for the Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor ... degree in Nursing or equivalent experience. 4+ years of DRG and/or Medical Record Audit experience. One year of experience in a clinical setting or acute… more