- Excellus BlueCross BlueShield (Rochester, NY)
- …* Extensive knowledge of coding conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care ... is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies to ensure accurate diagnosis coding.… more
- Mount Sinai Health System (New York, NY)
- …the attending physician's description and the information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical ... Hospital **Responsibilities** Performs SMART focused reviews on ICD-10-CM/PCS coded inpt medical records to validate accuracy of codes assigned, selection of… more
- Humana (Albany, NY)
- …CM guidelines + Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related ... is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with...or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with… more
- Trinity Health (Albany, NY)
- …(CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication skills. . ... & Audit to develop and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer… more
- Intermountain Health (Albany, NY)
- **Job Description:** This position is responsible for billing , follow-up, and resolving issues that delay or prevent payment of the patient's account within ... hire. Plus one of the following certifications: Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or… more