- Northwell Health (Lake Success, NY)
- …compliance with all laws and regulatory requirements. Oversees and promotes system-wide coding compliance to applicable laws, regulations, and coding ... billing non- compliance . + Oversees and promotes the system-wide compliance coding standards. + Monitors and audits established regulations, policies and… more
- Huron Consulting Group (NY)
- …are now and create your future. Baystate Health is seeking a strategic and results-driven Director of Hospital Coding Operations to lead and optimize coding ... This role is central to ensuring accurate, compliant, and efficient coding practices that directly impact revenue cycle performance and clinical documentation… more
- St. Mary's Healthcare (Amsterdam, NY)
- … operations with organizational strategy. + Participate in long-term planning for coding staffing, technology adoption, and compliance initiatives. + Oversee ... of computer-assisted coding , EMR integration, and auditing tools. + Maintain compliance with CMS, OIG, and other regulatory guidelines + Oversee routine internal… more
- Northwell Health (Lake Success, NY)
- …Description Directs, plans, leads and evaluates the staff and activities for system-wide coding operations to ensure accurate and timely coding of inpatient and ... System standards, policies and procedures. Directly manages employees involved in coding . Coordinates and evaluates Health System's coding staffing programs… more
- Mohawk Valley Health System (Utica, NY)
- …Also, this role will audit the most complex service records to ensure coding and documentation accuracy and compliance . Contributes to revenue and strategic ... Accountable for code assignments, applying expertise and knowledge of compliance , official coding guidelines and revenue cycle...measures. + Track, trend, and analyze individual and departmental coding KPIs and report up to the Director… more
- Independent Health (Buffalo, NY)
- …skills. Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to prepare quantitative ... by reviewing medical record documentation and/or provider claims data. Ensure coding compliance with industry standard ICD-10-CM and ICD-10-PCS coding… more
- Ankura (New York, NY)
- …globally recognized independent experts who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges. ... Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices focused on client… more
- American Express (New York, NY)
- …Defense subject-matter expert team responsible for administering a comprehensive regulatory compliance program for the American Express Fair Lending Program Office ... fair lending laws and regulations. This position will ensure that compliance risks are adequately identified, assessed, and monitored. **Key Responsibilities:** +… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …Share this job (https://uscareers-nyu.icims.com/jobs/15008/ director %2c-clinical-revenue- compliance /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336115631) Need ... statistical records and activities within the College of Dentistry to ensure compliance with NYU and school policies, procedures and standards. Perform compliance… more
- Datavant (Albany, NY)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Director , CDI Department: Clinical Documentation ImprovementLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am - 4:30pmSUMMARY The ... Clinical Documentation Improvement Director provides a key role in advancing the long...Responsible for CDI operations ensuring timeliness, accuracy, completeness, consistency, compliance and standards fulfillment as defined in RRH and… more
- Mount Sinai Health System (New York, NY)
- …operations and reducing denials. ? Expertise in authorization, registration, billing, coding , reimbursement methodologies, and regulatory compliance . ? Deep ... **Job Description** ** Director of Revenue Engagement- Patient Financial Services-Corporate 42nd Street -Full-Time Days** The Director of Revenue Engagement acts… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Stony Brook University (St. James, NY)
- Director Revenue Cycle Applications IT **Position Summary** At Stony Brook Medicine, the Director Revenue Cycle Applications IT serves as a strategic leader ... scheduling, health information management, and patient accounting systems. **Duties of a Director Revenue Cycle Applications IT may include the following but are not… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
- Catholic Health Services (Riverhead, NY)
- …Health was named Long Island's Top Workplace! Job Details The Site Director provides leadership, direction, and ongoing administration and management for all aspects ... assigned medical offices of the CHS Physician Medical Group. The Site Director ensures policies and procedures are implemented for efficient, effective management of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full-Time-Days (Hybrid)** The Director of ... in financial performance, operational efficiency, and patient experience. The Director will collaborate closely with operational, clinical, and IT stakeholders… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Director , Patient Financial Services (Backend Revenue Cycle) Corporate 42nd Street- Full-Time- Days** The Senior Director Patient ... Billing and Accounts Receivable performance across the medical center. The Senior Director will report to the Vice President Patient Financial Services of the… more
- CUNY (New York, NY)
- Computer System Manager Level 4 - Director of Application Development **GENERAL DUTIES** IT Computer Systems Managers manage and direct an Information Technology ... Overview** Reporting directly to the Deputy CIO and CISO, the Director of Application Development provides strategic and operational leadership over application… more
- Baylor Scott & White Health (Albany, NY)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified … more