- Baylor Scott & White Health (Albany, NY)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- Mohawk Valley Health System (Utica, NY)
- Supervisor Coding Auditor & Educator - Full Time - Days Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is ... and education initiatives within the Medical Group. This role supervises Coding Auditor & Educators and conducts coding audits, ensuring adherence… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non- Exempt Hourly) LOCATION: 696 Dutchess Turnpike ... different locations within our network as needed. POSITION SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support for … more
- University at Buffalo (Buffalo, NY)
- Position Title: Coding Educator and Auditor , Department of Medicine Posting Number: U240097 Employer: University Affiliates FTE: 1.00 Preferred Qualifications: + ... Bachelor's Degree. + Solid understanding of billing processes and experience with electronic health records ( EHR ) systems. + In-depth knowledge of policies, procedures, and government regulations related to physician billing, payer processes, guidelines, and… more
- Highmark Health (Albany, NY)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Northwell Health (Lake Success, NY)
- **Req Number** 151206 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
- Cognizant (Albany, NY)
- …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
- UHS (Binghamton, NY)
- Position OverviewPerform internal coding and documentation audits. Research, analyze, and respond to inquiries regarding coding and documentation compliance in ... with all coding guidelines and Medicare/Medicaid regulations. Assist with coding , documentation, and billing questions to ensure compliant coding and… 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. Job Responsibility 1.Leverages clinical ... 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 (Westbury, 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
- Humana (Albany, NY)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
- Catholic Health (Kenmore, NY)
- …flex JOB SUMMARY: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor will work cooperatively with CH coding associates, physicians, ... and APR-DRG grouper logic. The Educator will provide mentoring for new coding staff. The Educator/ Auditor will also assist with the coding standardization of… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend...programs + In-depth knowledge of ICD, CPT, and HCPCS coding as well all billing, CCI, MUEs, and other… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 160577 FlexStaff Experienced Compliance Auditor - Full-Time- Hybrid Role- Chappaqua, NY. Exciting Opportunity: Join Our clients as a Compliance ... Auditor ! Are you passionate about healthcare and eager to...our compliance team, you will support ongoing monitoring, identify coding discrepancies, and collaborate with internal departments and external… more
- New York State Civil Service (Rochester, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Healthcare Fraud (6391) Occupational Category Financial, Accounting, Auditing ... Description Criminal Justice Division Medicaid Fraud Control Unit-Rochester Forensic Accountant/ Auditor Reference No. MFCU_ROC_FAA_6391Salary is $66,964To be considered for… more
- New York State Civil Service (New York, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Healthcare Fraud, 6394 Occupational Category Financial, Accounting, ... Criminal Justice DivisionMedicaid Fraud Control Unit - New York CityForensic Accountant/ Auditor Reference No. MFCU_NYC_FAA_6394Salary is $66,964 + $4,000 in location… 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
- Trinity Health (Syracuse, NY)
- …medical terminology. + One year of case management or utilization review/billing or coding experience. + One year of experience in coding /medical records/billing ... related field + One year of case management or utilization review, billing, or coding experiencePlease be aware for the safety and security of our colleagues and… more
- CenterLight Health System (NY)
- …claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a ... liaison between coding operations and clinical staff, training and coaching medical...1. Certified Professional Coder (CPC) 2. Certified Professional Medical Auditor (CPMA) 3. Certified Professional Practice Manager (CPPM) 4.… more
- WMCHealth (Valhalla, NY)
- …internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of ... documentation and coding and working with providers and staff to ensure...(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s).… more