- Humana (Albany, NY)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Datavant (Albany, NY)
- …bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating ... to enhance documentation clarity, completeness, and overall medical record quality . By ensuring accurate and comprehensive physician documentation, you will… more
- Humana (Albany, NY)
- …to profession **Preferred Qualifications** + Bachelor's Degree in relevant field preferred + Inpatient coding certification (AHIMA or AAPC - ex: RHIA, RHIT, CCS, ... **Use your skills to make an impact** **WORK STYLE:** Remote /Work at Home. While this is a remote...CIS, CIC) + Inpatient coding claim experience + Prospective payment… more
- SUNY Upstate Medical University (Syracuse, NY)
- Position Overview Responsible for the accurate and compliant coding of inpatient , outpatient, and professional OB/GYN encounters. This position serves as a key ... education to OB/GYN providers and clinical staff on documentation quality , coding updates, and best practices to...or health system environment. + Strong background in OB/GYN inpatient , outpatient, and surgical coding . + Experience… more
- Mount Sinai Health System (New York, NY)
- …Roosevelt - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews ... in continuing education programs to effectively apply ICD-10-CM/PCS, CPT and HCPCS coding guidelines to inpatient and outpatient diagnoses and procedures. +… more
- Centene Corporation (New York, NY)
- …standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding . Nursing experience in managed care organization or ... position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient ...business units to identify and implement process efficiency and quality improvement practices. + Work with IT resources to… more
- Humana (Albany, NY)
- …of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of ... level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is… more
- Humana (Albany, NY)
- …participation in care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
- Amgen (New York, NY)
- …not limited to), Hospital Pharmacy, Lipid Clinical, Heart Failure Clinical and Quality Directors ( inpatient and outpatient), hospital finance decision makers ... and external dynamics in both dyslipidemia and heart failure (eg: inpatient to outpatient management and protocols, readmission programs, Electronic Management… more
- Trinity Health (East Greenbush, NY)
- …basis + Identify any problematic charges for further review to correct coding /billing issues + Adhere to productivity/ quality guidelines + Communicate ... East Greenbush, NY, and has the opportunity to work remote 1 day a week. . This Revenue Cycle...Revenue Cycle Analyst is needed for the medical group. Coding and EPIC knowledge not required but a plus.… more
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