- 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 ... with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by… 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 ... to different locations within our network as needed. POSITION SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support… more
- Highmark Health (Albany, NY)
- … Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
- Datavant (Albany, NY)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
- Northwell Health (Lake Success, NY)
- …Degree required, or equivalent combination of education and related experience. *Current Coding credential: CER - Cert Professional Coder. (CPC), CCS OR ... **Req Number** 165162 Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes.… 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)
- …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
- 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...equivalent degree in Business, Accounting, or Finance and a professional designation (eg, CPA, MBA, CIA, FRM, CRMA) or… more
- SUNY Upstate Medical University (Syracuse, NY)
- …the Compliance 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… 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)
- …project assignments as needed. + This individual must be an action-oriented professional who needs minimal supervision to conduct risk-based operational audits. + ... 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… more
- Datavant (Albany, NY)
- …mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship ... complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for… more
- University of Rochester (Rochester, NY)
- … coding experience** required, to include: **APG** , **APC** , and/or **DRG** coding methodologies or professional coding and billing in specialty areas. ... Professional (CCEP), + Certified Fraud Examiner (CFE), + Certified Internal Auditor (CIA), + Or equivalent professional certification **Knowledge, Skills &… more
- WMCHealth (Valhalla, NY)
- …Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist ... internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... conditions due to discovery of potential FWA. Discusses sensitive material in a professional , fair and accurate manner. Recommends providers for referrals to the New… more
- Coinbase (Albany, NY)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to...such as Python, Ruby, etc. *Nice to haves:* * Professional Internal Audit / IT / Security qualification (eg,… more
- Conifer Realty LLC (Rochester, NY)
- …and analyze against annual budgeted amounts, researching and explaining discrepancies. + Coding and processing of corporate invoices accurately and timely. + Process ... general ledger activities. + Assist with coordinating activities of external auditor . + Other corporate accounting related projects, responsibilities as assigned.… more