- Elevance Health (Latham, NY)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Trinity Health (Albany, NY)
- …years' experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in value-based plans ... efforts toward the improvement and integrity of clinical documentation through the role of auditor ...providers and members of the healthcare team. + Performing quality audits and evaluating clinical documentation of… more
- Centene Corporation (New York, NY)
- …Diagnosis Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small ... work performed by staff and present findings and recommendation for areas of improvement to management + Under minimal supervision responsible for all aspects of… more
- Datavant (Albany, NY)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to… more
- CVS Health (Albany, NY)
- …for continuous improvement . This position will sit within our Coding Quality Operations team and offers the flexibility of working from home. **Position ... each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a… more
- Albany Medical Center (Albany, NY)
- …assess compliance with related rules and regulatory requirements, and to identify clinical documentation improvement opportunities. + Identify trends based on ... Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding skill set to act as a… more
- Datavant (Albany, NY)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality Improvement (QI) leader within the organization, empowered to… more
- Molina Healthcare (Yonkers, NY)
- …and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and ... clinical data acquisition related to performance reporting and improvement , including member and provider outreach. + Serves as...operations subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined… more
- University of Rochester (Rochester, NY)
- …for Quality (ASQ), Certified Regulatory Affairs Certification (RAC), or Certified Quality Auditor (CQA) upon hire preferred. The University of Rochester is ... individual, and internal equity considerations._ **Responsibilities:** General Purpose Leads the Quality Assurance team for clinical research conducted at CHeT.… more