- CVS Health (Albany, NY)
- …the team in determining correct coding and appropriate documentation during the review of medical records . This role requires a strong focus on meeting state, ... Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to...that may warrant a prepayment review. + Maintain appropriate records , files, and documentation for the team. + Utilize… more
- Mount Sinai Health System (New York, NY)
- …the beneficiary's medical record. Responsible for performing quality reviews of medical records to validate correctness and appropriateness of the assigned ... **Responsibilities** Performs SMART focused reviews on ICD-10-CM/PCS coded inpt medical records to validate accuracy of codes... diagnoses or conditions that are clinically evident. Reviews coder queries to determine if the query is supported… more
- CVS Health (Albany, NY)
- …every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes ... all State and Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations… more
- Elevance Health (Latham, NY)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- Molina Healthcare (Yonkers, NY)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
- Datavant (Albany, NY)
- …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
- Independent Health (Buffalo, NY)
- …+ Responsible for all reconsideration clinical appeals to include review of records , consultation with Medical Director, response to facilities as well ... one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health… more
- Humana (Albany, NY)
- …Senior Coding Educator is responsible for reviewing and analyzing internal data and medical records , as well as coordinating educational sessions with providers ... or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with...Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission,… more
- Bassett Healthcare (Sidney, NY)
- …and community support services as required Maintains ongoing patient records , documents therapeutic interventions and progress in achieving treatment goals ... in accordance with department standards for billing of services Provides coder /analyst with timely, accurate, and adequate billing information following each patient… more