- Datavant (Albany, NY)
- …vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... + Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare , commercial, and Medicaid sectors. + In-depth knowledge of medical terminology,… more
- Catholic Health Services (Smithtown, NY)
- …college level is highly desirable. Skills, Knowledge or Abilities: Knowledge of Medicare , Medicaid and insurance required. Must have troubleshooting skills and the ... required. Three to five years' experience required. DUTIES/RESPONSIBILITIES: Performs monthly review of designated payer accounts Processing of mail/EOB's for the… more
- Trinity Health (Syracuse, NY)
- …data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State ... payer regulations.Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial reviewResponsible for proofing daily charges for… more
- Staffing Solutions Organization (Albany, NY)
- …follow-up questions, and requests for additional documentation. + Building review protocols, establishing written procedures, designing standardized review ... worksheets, and developing training components specific to each new internal review project assigned to the bureau. Reviewing completed worksheets by initial and… more
- New York State Civil Service (NY)
- …as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group counseling sessions; * ... and maintain a wide variety of records. * Peer review . LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-MF1 Minimum Qualifications Minimum Qualifications for… more
- City of New York (New York, NY)
- …weekly and monthly reports on Aging Connect call data, special initiatives, and Medicare related metrics. Analyze data to identify ways to improve unit performance. ... issued through Program Instructions are implemented. - Track and review program monthly, mid-year and end of year reports...opportunities to work with older adults. - Track and review volunteer program monthly, mid-year and end of year… more
- WMCHealth (Valhalla, NY)
- …pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze and maintain WMCHealth ... Network Hospitals CDM's to maximize revenue. + Performs periodic review of codes and works with patient billing regarding bundling and unbundling services as… more
- HCR Home Care (Rochester, NY)
- …and all required patient care is completed including , but not limited to: + Review and follow-up on complaint forms and all QI reports . + Onsite supervision of ... schedules and ensure productivity standards are met . + Review and approve bi-weekly payroll . + Recommend and...years' experience in certified home health care . + Medicare home health experience and management experience . +… more
- Molina Healthcare (Yonkers, NY)
- …requirements * Meet with Production Manager and business owners as needed to review and understand details of print and fulfillment business requirements for various ... resolution * Input and manage projects into company procurement database * Review , reconcile, route and submit all invoices for payment and maintain reporting… more
- New York State Civil Service (Harriman, NY)
- …each assigned home weekly (minimally) to provide nursing oversight and complete review of items. * Interacts with primary, medical specialists, various clinical ... day program, IES, residential staff. * Annually for everyone in your caseload, completes: review of medical section ISP, medication audit (each home). * Keeps up to… more