- National Health Care Associates (Poughkeepsie, NY)
- …reimbursement for services provided. You will ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion ... and coding conventions. **Key Responsibilities:** + Lead and oversee the...compliance and accuracy in assessments + Determine Patient Driven Payment Method (PDPM) and expense associated with a potential… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Albany, NY)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Stony Brook University (Commack, NY)
- Coding Educator **Position Summary** At Stony Brook Medicine, **the Coding Education professional ** will develop and provide educational programs as they ... Integrity (CDI) staff on a brief History of Coding . + Provide education to the CDI staff on...education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the CDI staff… more
- Ellis Medicine (Schenectady, NY)
- The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct ... management of the outpatient medical coding team. The Supervisor of Medical Coding ...EDUCATION AND EXPERIENCE REQUIREMENTS: + Bachelors Degree + Certified Professional Coder (CPC) + Knowledge of Anatomy and Physiology,… more
- Elevance Health (New Hyde Park, NY)
- …be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside...companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate… more
- Trinity Health (Albany, NY)
- … coding guidelines, payer regulations, compliance and reimbursement and the effects of coding in relation to risk adjustment payment models. . Identify ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION… more
- Humana (Albany, NY)
- …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- Ellis Medicine (Niskayuna, NY)
- …support a work-life balance, including 6 paid holidays + Tuition Reimbursement and professional development opportunities + Retirement plan in the form of a 401(3b) ... and related encounter forms, ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and … more
- Ellis Medicine (Schenectady, NY)
- …complete manner. Requirements: High School Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered ... and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding … more
