- Highmark Health (Buffalo, NY)
- …parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio ... relevant, dissemination and support of gap closures for STARS and improved coding for government populations. Identification of process improvement gaps in workflow… more
- Datavant (Albany, NY)
- …systems and compile medical records to send to other parties for coding + Log all call transactions into the designated computer software system(s) + Requests ... Company's code of Conduct and policies and maintain HIPPA compliance **What you will bring to the table:** +...diploma or equivalent + 2+ year of experience in medical records, medical record coding … more
- MVP Health Care (Rochester, NY)
- …you have a passion for problem solving and investigations, commitment to compliance and ethical standards and dedication to continuous learning and improvement. ... to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or...CPC and/or COC credential. + Maintain nursing license and coding credentials through continuing education process as required. +… more
- Wells Fargo (New York, NY)
- …life-cycle tasks, such as business and technical analysis, designing, coding , testing, and implementation plans. Coordinate implementation activities across a ... to manage complex business functions using sophisticated technologies + Resolve coding , testing and escalated platform issues of a technically challenging nature… more
- Medtronic (New York, NY)
- …therapies. Be aware of US market access trends, competitive activities, and payer medical policy changes. + Ensure compliance with all relevant laws, ... experience and expertise with commercial payer stakeholders, understanding how medical policies for innovative therapies are established. This position supports… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …health care services. Physicians function within their scope to provide high-quality medical care across a variety of settings that comprise Hudson Headwaters Health ... team. Physicians also must be able to effectively communicate with the senior medical directors and providers as well as other personnel. Physicians are responsible… more
- Mohawk Valley Health System (Utica, NY)
- …The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals objectives, and quality patient care while ... planning, patient status changes, length of stay, patient monitoring practices, medical necessity concepts and associated regulations in case management decisions.… more
- Catholic Health Services (Riverhead, NY)
- …as assigned. Compliance /HIPAA + Implementation and monitoring to ensure the Medical Group physician practices are in compliance with CHS policies, ... direction, and ongoing administration and management for all aspects of the assigned medical offices of the CHS Physician Medical Group. The Site Director… more
- MetaOption, LLC (Hicksville, NY)
- …Familiarity with the differences between professional billing and hospital billing. + Knowledge of medical coding systems like CPT and ICD-10. + Soft Skills: + ... internal procedures for using Epic and other applications. + Compliance and Updates: + Stay current with Epic technologies,...different claim formats (eg, X12 4010 to 5010) and coding systems (eg, ICD-9 to ICD-10). + Review and… more
- Veterans Affairs, Veterans Health Administration (Canandaigua, NY)
- …clinical and administrative areas of a complex health care facility; scanning, bar- coding , receiving, storing and distributing medical and surgical supplies, ... Summary This position serves as Supply Technician ( Medical ) for the Medical Supply Distribution...and controls critical supplies; Performs daily inventory using bar coding equipment on a predetermined schedule that will allow… more
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