- Mohawk Valley Health System (Utica, NY)
- SUPV CODING AUDITOR & EDUCATOR Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is responsible for overseeing ... and education initiatives within the Medical Group. This role supervises Coding Auditor & Educators and conducts coding audits, ensuring adherence… more
- 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
- 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** 154372 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** 103132 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 (Westbury, 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
- Mohawk Valley Health System (Utica, NY)
- CDI III Educator Auditor - Full Time - Days Department: CLINICAL DOCUMENTATION IMPROVE Job Summary The CDI III Educator Auditor (Clinical Documentation ... processes and responses, maintaining compliance with regulatory guidelines and coding conventions. This role emphasizes denial management, educational program… more
- CIBC (New York, NY)
- …visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **What you'll be doing** The IT Senior Auditor is responsible for the execution of Internal Audit's testing ... but may also contribute to business process control streams. The IT Senior Auditor will work with internal and external stakeholders to perform control testing to… more
- CIBC (New York, NY)
- …CIBC.com (https://www.cibc.com/en/about-cibc.html) **What you'll be doing** The Senior Auditor , Information Technology is responsible for conducting risk-focused ... ongoing legal entity reports to key stakeholders. The 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
- New York State Civil Service (New York, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Healthcare Fraud (6383) Occupational Category Financial, Accounting, ... Criminal Justice DivisionMedicaid Fraud Control Unit - New York CityForensic Accountant/ Auditor Reference No. MFCU_NYC_FAA_6383Salary is $66,964 + $3,400 in location… more
- CIBC (New York, NY)
- …**What you'll be doing** As a member of CIBC's team, the Senior Auditor is responsible for conducting risk-focused audits; advising business units on the design, ... 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
- 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
- Mohawk Valley Health System (New Hartford, NY)
- Compliance Coding Specialist - Hybrid - Full time - Days Department: LEGAL AND COMPLIANCE Job Summary The Internal Auditor - Compliance will oversee the internal ... the effectiveness of the compliance program across the organization. The Internal Auditor - Compliance will identify areas to be audited based on regulatory… 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
- CVS Health (Albany, NY)
- …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... Stay informed about changes in the industry practices related to healthcare coding . Provide training opportunities for staff to maintain their CEUs. Assist in… more