- Humana (Albany, NY)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Northwell Health (Lake Success, NY)
- **Req Number** 107130 Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. ... Prepares coding guidelines; implements coding changes. Job Responsibility + Demonstrates comprehensive... changes. Job Responsibility + Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits… more
- Northwell Health (Lake Success, NY)
- **Req Number** 137535 Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. ... Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals;… more
- Northwell Health (Lake Success, NY)
- **Req Number** 135950 Job Description Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations ... compliance risk. Job Responsibility + Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding… more
- Northwell Health (Garden City, NY)
- …- BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical.** Validates Acute Inpatient coded ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more
- Northwell Health (Garden City, NY)
- …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group ... standards are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes… more
- Elevance Health (Middletown, NY)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- CIBC (New York, NY)
- …visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **JOB PURPOSE** The IT Senior Auditor is responsible for conducting risk-focused audits; advising business ... legal entity reports to key stakeholders. The IT Senior Auditor works with business units to assess the adequacy...attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process… more
- Baylor Scott & White Health (Albany, NY)
- …tracks results and identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and… more
- New York State Civil Service (Syracuse, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Support Healthcare Fraud Investigations (6342) Occupational Category Financial, Accounting, ... and/or advanced statistical training.* Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience analyzing health… more
- American Express (New York, NY)
- …and is leading the financial services industry with our Audit NextGen and Auditor of the Future initiatives. Each uniquely support our Winning Aspiration to be ... joining IAG for the summer internship will develop their Auditor of the Future (AotF) skills through a data...visualization tools such as Power BI, Tableau and basic coding skillspreferred Our team will review completed applications on… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional ... coding and billing audits. Duties/Responsibilities: Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and… more
- The Mount Sinai Health System (New York, NY)
- …- CDI Liaison is responsible for analyzing medical records, claims data, and coding on all diagnoses and procedures (both medical and surgical) to assure properly ... Clinical Modification (ICD-9-CM American Medical Association Current Procedural Terminology (CPT-4) Coding system; and Healthcare Common Procedure Coding System… more
- City National Bank (New York, NY)
- …data processing and execution, data quality management, software licensing, secure coding , general computing and application controls. Some examples of related ... the technical and business knowledge of the group through IT and business auditor cross integration and allocation. Identify new opportunities that would result in… more
- University of Rochester (Rochester, NY)
- …issues and Medicare and Medicaid requirements. Acts as a resource on billing, coding and complex reimbursement issues to Medical Center personnel on a daily basis. ... relevant experience required; + or an equivalent combination of education and compliance/ coding /consulting experience required. + 5 years' experience in a direct or… more
- CIBC (NY)
- …findings for model approval, as well as address the regulatory and external auditor 's findings + Monitor, maintain and update CECL segmentation schema and model risk ... you to complete an attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process is to get to know… more
- CIBC (New York, NY)
- …+ Professional certification such as Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) + Experience working in an Internal Audit department at a ... you to complete an attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process is to get to know… more