- Trinity Health (Syracuse, NY)
- … Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits ... and ensure charges/ coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal,… more
- Trinity Health (Albany, NY)
- …Specialist- Outpatient (CCDS-O) preferred. **ESSENTIAL FUNCTIONS:** + Utilizes clinical, coding and auditing expertise to direct and fulfill efforts toward the ... **Risk Adjustment Auditor Educator** -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for… more
- Trinity Health (Syracuse, NY)
- … Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits ... and ensure charges/ coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal,… more
- Mount Sinai Health System (New York, NY)
- …We seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization ... 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC)...Auditing & Compliance:** + Audit charge capture for inpatient, outpatient , clinic, ED, and ambulatory services + Work with… more
- Trinity Health (Syracuse, NY)
- …Specialist- Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding , Auditing and Education primary functions:** + Working and managing ... A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Outpatient Senior Medical Coding Specialist (Emergency Department) will be ... quality audits on staff and providing thorough education and feedback to the medical coding specialists. They will be responsible for detailed reviews, projects… more
- Humana (Albany, NY)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Albany, NY)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... caring community and help us put health first** The Medical Director relies on medical background and...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Albany, NY)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Garnet Health (Harris, NY)
- …years of extensive experience in revenue cycle, with a focus on hospital inpatient/ outpatient billing and coding required. Experience with billing software such ... Analyst on our Patient Financial Services team at/in Garnet Health Medical Center-Middletown. Responsibilities The PFS Analyst is responsible for supporting the… more
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