- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Catholic Health (Buffalo, NY)
- …be considered if enrolled in a HIT or HIM program and has completed coding , medical terminology, anatomy & physiology + Successful certification within one (1) ... preferred Knowledge, Skills, Ability + Thorough knowledge of ICD-10-CM and CPT coding systems, medical terminology, anatomy and physiology + Must possess… more
- InGenesis (Batavia, NY)
- …clinic and IHSC staff prior to each appointment where applicable. * Determines coding for relevant medical record forms from appropriate references. * ... InGenesis is currently sourcing for Medical Records Technician candidates to work for our...for patients and clinical staff where applicable. * Tracks compliance with scheduled patient appointments, making timely reminders notices,… more
- Mount Sinai Health System (New York, NY)
- …direction and leadership of operational, business, financial activities of the medical practice. This includes incorporation of Mount Sinai Doctors Downtown's ... optimization and innovative strategies for the practice. **Qualifications** 5 years medical insurance experience including medical office administration, benefit… more
- Arnot Health (Elmira, NY)
- …Minimum of three years of medical office experience preferred; knowledge of medical coding is a plus. + Skills: Excellent communication, organizational, and ... Health is seeking a dedicated Outpatient Administrative Assistant to support our Medical Oncology Clinic. This role is essential in ensuring smooth daily operations… more
- Humana (Albany, NY)
- …Payment Integrity Professional 2 contributes to overall cost reduction by utilizing coding knowledge to identify/validate new code edit opportunities in a timely ... fashion to ensure claims process correctly the first time. Expert level of coding knowledge specific to Medicare and Medicaid guidelines is a must. Understands… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
- Humana (Syracuse, NY)
- …of our caring community and help us put health first** The Medical Records Retrieval Representative (Risk Adjustment Representative 2) travels to provider offices ... within Upstate/Central New York and scans medical records into a secure system. The records are...a secure system. The records are reviewed by Humana's Coding staff. Territory includes the New York counties of:… more
- Rochester Regional Health (Rochester, NY)
- …team to ensure accurate and timely clinical documentation in the medical record. RESPONSIBILITIES + Responsible for CDI operations ensuring timeliness, accuracy, ... completeness, consistency, compliance and standards fulfillment as defined in RRH and...classes. + Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures CDI staffs are appropriately educated.… more
- Datavant (Albany, NY)
- …the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across ... and prospective use cases. + Identify opportunities to improve coding accuracy, efficiency, and transparency through advanced reporting, dashboards, and… more