- Highmark Health (Albany, NY)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for ... Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC… more
- Catholic Health Services (Melville, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... Details Responsible for the review of provider documentation and coding charge review errors as well as Evaluation and...charge review errors as well as Evaluation and Management coding . Ensure that the coding is appropriate… more
- Catholic Health Services (Melville, NY)
- …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... was named Long Island's Top Workplace! Job Details The Coding Educator position is high profile and requires a...situations. This position requires a solid understanding of complex coding principles, guidelines, and concepts and can broadly apply… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician ... Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an...extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of… more
- Kaleida Health (Buffalo, NY)
- ** Coding Specialist** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description **Summary:** ... The coding specialist is responsible for coding , including,...medical staff on issues requiring further clarification using a physician query process when there are identifiable clinical indicators,… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …MSK and around the globe. Exciting Opportunity at MSK: **Senior Healthcare Coding & Billing Compliance Specialist (Auditor)** At Memorial Sloan Kettering (MSK), our ... of integrity and accountability across our institution. As a **Senior Healthcare Coding & Billing Compliance Specialist (Auditor)** , you'll help safeguard MSK by… more
- UHS (Binghamton, NY)
- Position OverviewResponsible for the coordination of activities to monitor physician documentation in the medical record with regards to applicable regulations and ... facility and/or professional billing. Researches, analyzes, and responds to inquiries regarding coding and documentation compliance in accordance with all coding … more
- Mount Sinai Health System (New York, NY)
- …operations. + Provides on-going in-service training for staff on proper coding guidelines, insurance regulations, medical records and physician documentation ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst… more
- UHS (Binghamton, NY)
- … coding applications, encoders, and related resources appropriately in the coding process. + Initiates physician queries when documentation is insufficient, ... for hospital inpatient services. This role ensures compliance with official coding guidelines, regulatory requirements, and ethical standards to support proper… more
- University at Buffalo (Buffalo, NY)
- Position Title: Coding Educator and Auditor, Department of Medicine Posting Number: U240097 Employer: University Affiliates FTE: 1.00 Preferred Qualifications: + ... + In-depth knowledge of policies, procedures, and government regulations related to physician billing, payer processes, guidelines, and compliance standards. more