- Huron Consulting Group (NY)
- …are now and create your future. Baystate Health is seeking a strategic and results-driven Director of Hospital Coding Operations to lead and optimize coding ... internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and… more
- St. Mary's Healthcare (Amsterdam, NY)
- …factors permitted by law. Responsibilities: + Provide day-to-day leadership to coding teams across inpatient, outpatient and professional services. + Partner with ... the Directors, HIM and Revenue Cycle leadership to align coding operations with organizational strategy. + Participate in long-term planning for coding staffing,… more
- Mount Sinai Health System (New York, NY)
- …EPIC EMR system + Strong clinical and analytical skills to evaluate appropriate Medical Record Coding + Currently credentialed as CPC and/or CCS certifications ... with reviewing and maintaining claim edits and identify edit discrepancies based on coding guidelines and make recommendations to Associate Director for updates… more
- Independent Health (Buffalo, NY)
- …for all reconsideration clinical appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of all ... and financial recoupment statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims… more
- Evolent (Albany, NY)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
- Mohawk Valley Health System (Utica, NY)
- …to optimize reimbursement and quality measures. + Track, trend, and analyze individual and departmental coding KPIs and report up to the Director of CDI and ... Manager Coding - Full Time - Days Department: ...and pediatrics. + Strong knowledge of anatomy, disease processes, medical terminology, pharmacology, and surgical procedures. + Proficient use… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Sumitomo Pharma (Albany, NY)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more