- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Albany, NY)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Trinity Health (Albany, NY)
- … coding guidelines, payer regulations, compliance and reimbursement and the effects of coding in relation to risk adjustment payment models. . Identify ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION… more
- Humana (Albany, NY)
- …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- Ellis Medicine (Niskayuna, NY)
- …support a work-life balance, including 6 paid holidays + Tuition Reimbursement and professional development opportunities + Retirement plan in the form of a 401(3b) ... and related encounter forms, ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and … more
- University of Rochester (Albany, NY)
- …system to ensure the production of quality healthcare data and accurate professional payment . Prepares reports for designated leader(s). **ESSENTIAL FUNCTIONS** ... Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS). preferred or + Certified Professional Coder… more
- Nelnet (Albany, NY)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more