- Excellus BlueCross BlueShield (Rochester, NY)
- …CPC designation within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding ... group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government...on or before December 28, 2022. + Current NYS RN license with a minimum of three years clinical… more
- Deloitte (New York, NY)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps...CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager,… more
- BronxCare Health System (Bronx, NY)
- …queries, ongoing opportunities, and physician process and outcome data. Qualifications - Registered nurse or other health care profession required. -Three ... CDI queries and perform second level reviews. - Identify DRG mismatches and manage and collaborate with Coding... DRG mismatches and manage and collaborate with Coding team on reconciling DRG mismatches. -Develop… more
- Catholic Health (Buffalo, NY)
- …is vital. Responsibilities: EDUCATION + Bachelor of Science Nursing (BSN) degree + Registered Nurse with a current New York State license CERTIFICATION + ... physicians and administration regarding issues related to the appropriateness of inpatient DRG assignment and Level of Care. Coordinates follow-up audits to ensure… more