- 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
- WelbeHealth (Albany, NY)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- Albany Medical Center (Albany, NY)
- …Work Shift: 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 service line coding team lead expert, working collaboratively to support all...collaboratively to support all workflows related to professional fee coding /charging/denials follow-up. Coordinates with others as needed to ensure… more
- Cognizant (Albany, NY)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...+ Perform Peer Reviews of Company Health Information Management coding auditors and coders + Assure that services provided… more
- Centene Corporation (New York, NY)
- …Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel ... needed analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training programs, including… 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** 165162 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 (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
- Mount Sinai Health System (New York, NY)
- …and related professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue … 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 ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across… more
- CIBC (New York, NY)
- …As a member of CIBC's Internal Audit team, the Senior Auditor /Manager/Senior Manager is responsible for conducting risk-focused audits; advising business units ... we are hiring for 3 open positions - Senior Auditor /Manager/Senior Manager. The job level will be determined based...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 (Pearl River, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Healthcare Fraud, 6405 Occupational Category Financial, Accounting, ... Medicaid Fraud Control Unit - Pearl River (Rockland County)Forensic Accountant/ Auditor Reference No. MFCU_PR_FAA_6405Application Deadline is October 31, 2025Salary… 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
- Molina Healthcare (Buffalo, NY)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- Paramount (New York, NY)
- …with spreadsheets and analytics tools such as Excel, ACL, Tableau etc. Python or coding is preferred but not required. + Willingness to travel if needed. Paramount ... Skydance Corporation (NASDAQ: PSKY) is a leading global media and entertainment company that creates premium content and experiences for audiences worldwide. Driven by iconic studios, networks and streaming services, Paramount's portfolio of consumer brands… more
- Datavant (Albany, NY)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... to help shape the future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART… more
- University of Rochester (Rochester, NY)
- …two pathways for the Compliance Analyst II (1: Compliance Billing, Coding , and Education Analyst,** **or** **2: Compliance Specialist):** **1: Compliance Billing, ... Coding , and Education Analyst** Provides compliance oversight and support...(CCEP), + Certified Fraud Examiner (CFE), + Certified Internal Auditor (CIA), + Or equivalent professional certification **Knowledge, Skills… 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