- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Albany, NY)
- …respond to inquiries and issues. + May participate in coder education programs on coding compliance . + Follows state and federal regulations as well as internal ... reviews. + May participate in provider education programs on coding compliance . + Exercises independent judgment and...or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3… more
- Mount Sinai Health System (New York, NY)
- …and hospital coding across the health system. This role ensures coding accuracy, regulatory compliance , revenue integrity, and operational efficiency for ... aligned with organizational goals. - Lead initiatives to improve coding accuracy, productivity, and compliance . - Serve...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Datavant (Albany, NY)
- …role is an opportunity to make a significant impact in the field of medical coding . You will provide essential consulting services and educational support, ... unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance , and optimizing service...and productivity standards.** **What You Will Do:** + Review medical records and assign precise codes to ensure accurate… more
- UHS (Binghamton, NY)
- …and collaborative Facility Coding Supervisor to lead a team of coding professionals supporting accurate and timely medical documentation. In this key ... leadership role, you will oversee daily operations, ensure compliance with coding standards, support staff development,...believe that every connection matters-from the accuracy of each medical code to the relationships you build with your… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …or projects with minimal direction or oversight. . Acts as an expert in reviewing medical coding and medical record review with ability to oversee complex ... I . Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and...coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates. Requires expert coding … more
- Guidehouse (New York, NY)
- …with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. + Ensures coding and billing practices are in compliance with Federal/State guidelines ... knowledge of Medicare, Medicaid, and other third-party payer billing compliance guidelines and requirements. + Other duties commensurate with...+ Experience in ICD-10, CPT and HCPCS Level II Coding . + Expertise in determining medical necessity… more
- St. Mary's Healthcare (Amsterdam, NY)
- … operations with organizational strategy. + Participate in long-term planning for coding staffing, technology adoption, and compliance initiatives. + Oversee ... coding , EMR integration, and auditing tools. + Maintain compliance with CMS, OIG, and other regulatory guidelines +...strategic goals, and performing audits and quality reviews of medical records to ensure compliance with CMS,… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …+ CPC, CCS, CCSP or other applicable codingcertification required. + Experience in medical coding with strong knowledge of ICD-10 and CPT-4. + Experience ... experience preferred + Strong understanding of payer rules, documentation standards, and coding compliance . **Core Skills** + High attention to detail with… more
- Stony Brook University (Commack, NY)
- …new and existing staff based on results of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ... _10 years or more experience with ICD-10 CM, ICD-10 PCS, CPT & HCPCS coding ._ + _Experience with education, training, compliance and auditing._ _RHIA, RHIT, CCS,… more
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