Payment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required) Capital District Physicians' Health Plan IncPayment Integrity DRG Coding & Clinical Validation Analyst I/II/III (RHIA, RHIT, CCS, or CIC Certification Required)Albany, NYMinimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Albany, NYIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Risk Adjustment Coding Auditor ClinDCast LLCRisk Adjustment Coding AuditorAlbany, ALRemoteFull timeJob Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must be CPC and CRC certified with strong risk adjustment coding expertise and proficiency in Microsoft Office Suite.
Clinical Coder-Coding Southwestern Vermont Health CareClinical Coder-CodingBennington, VTThe Clinical Coder assesses the adequacy of medical record documentation to ensure that documentation supports the diagnosis, procedure, complications, and co-morbid conditions assigned codes. The Clinical Coder is responsible for coding inpatient and outpatient services as required to ensure timely and accurate coding of unbilled records.
Building Code Consultant LaBella AssociatesBuilding Code ConsultantAlbany, NY$30–$40 / hourPerform code reviews, Perform code inspections, Prepare written reports, Provide code opinions based on experience and available resources, Communicate with clients and applicants to facilitate open dialog is necessary to bring code comments to resolution, Prepare proposals and assist in business development, Prepare and present presentations on code related topics, Perform reviews and quality control on deliverables. Our benefit offerings cover the must-haves (healthcare and retirement), the just-in-cases (insurances and employee assistance programs), and the cherry-on-tops (fitness reimbursements, year-end incentive pay, and tuition assistance).
Building Code Plan Reviewer - MEP Specialist LaBella AssociatesBuilding Code Plan Reviewer - MEP SpecialistAlbany, NY$110,000–$125,000 / yearThe ideal candidate possesses extensive knowledge of mechanical, electrical, plumbing, and energy code requirements, is comfortable working independently, and enjoys collaborating with design professionals, building departments, and fellow code specialists. Our benefit offerings cover the must-haves (healthcare and retirement), the just-in-cases (insurances and employee assistance programs), and the cherry-on-tops (fitness reimbursements, year-end incentive pay, and tuition assistance).
Building Code Plan Examiner - MEP Specialist LaBella AssociatesBuilding Code Plan Examiner - MEP SpecialistAlbany, NY$110,000–$125,000 / yearThe ideal candidate possesses extensive knowledge of mechanical, electrical, plumbing, and energy code requirements, is comfortable working independently, and enjoys collaborating with design professionals, building departments, and fellow code specialists. Our benefit offerings cover the must-haves (healthcare and retirement), the just-in-cases (insurances and employee assistance programs), and the cherry-on-tops (fitness reimbursements, year-end incentive pay, and tuition assistance).
Building Code Consultant LaBellaBuilding Code ConsultantAlbany, NYPerform code reviews, Perform code inspections, Prepare written reports, Provide code opinions based on experience and available resources, Communicate with clients and applicants to facilitate open dialog is necessary to bring code comments to resolution, Prepare proposals and assist in business development, Prepare and present presentations on code related topics, Perform reviews and quality control on deliverables. As a member of the Building Code & Life Safety Services group this position will require working collaboratively with other staff to review and interpret the code for the purpose of providing plan review, inspection and general code consultation.
Building Code Plan Examiner - MEP Specialist LaBellaBuilding Code Plan Examiner - MEP SpecialistAlbany, NY$110,000–$125,000 / yearThe ideal candidate possesses extensive knowledge of mechanical, electrical, plumbing, and energy code requirements, is comfortable working independently, and enjoys collaborating with design professionals, building departments, and fellow code specialists. The specific salary offered may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location.
Energy Code Specialist PERFORMANCE SYSTEMS DEVELOPMENT OF NEW YORK LLCEnergy Code SpecialistAlbany, NY$66,000–$74,000 / yearManager of Energy Codes/Provider Services and plays a key role in helping PSD Advances PSD's energy code expertise through training, technical guidance, and stakeholder engagement. Working knowledge of New York State energy codes, including the Energy Conservation Construction Code of New York State (ECCCNYS) and NYStretch Energy Code.
Building Code Plan Reviewer - MEP Specialist LaBella Associates DPCBuilding Code Plan Reviewer - MEP SpecialistAlbany, NY$110,000–$125,000 / yearThe ideal candidate possesses extensive knowledge of mechanical, electrical, plumbing, and energy code requirements, is comfortable working independently, and enjoys collaborating with design professionals, building departments, and fellow code specialists. The specific salary offered may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location.
Medical Billing Analyst Albany Medical CenterMedical Billing AnalystAlbany, NY$46,947–$65,726 / yearThis role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes.
Medical Billing Analyst - Columbia Memorial Hospital Albany Medical Health SystemMedical Billing Analyst - Columbia Memorial HospitalAlbany, NY$46,947–$65,726 / yearThis role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes.
medical billing analyst Albany Medical Centermedical billing analystAlbany, NY$46,947–$65,726 / yearThis role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes.
Medical Billing Analyst Albany Medical Health SystemMedical Billing AnalystAlbany, NY$46,947–$65,726 / yearThis role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes.
Medical Billing Analyst - Glens Falls Hospital Albany Medical Health SystemMedical Billing Analyst - Glens Falls HospitalAlbany, NY$46,947–$65,726 / yearThis role is centered around the timely follow up needed on accounts that have already been billed but need re-billing, accounts in which the payer has not responded within the regulatory guidelines, or AMHS has received a denial that needs an immediate action and/or rebuttal. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes.
Medical Secretaries Nexus StaffMedical SecretariesRensselaer, NYThe Nexus Staff Difference: Our outstanding healthcare coverage, including dental and vision, begins in just 30 days after you join us. Act as the liaison between the provider/biller, facility medical office, Bureau of Health Services, and Accounts Payable.
Medical Billing/Revenue Cycle – Ortho Team - Albany Trinity HealthMedical Billing/Revenue Cycle – Ortho Team - AlbanyAlbany, New YorkRemoteResponsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary. Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users.
NewMedical Billing/Revenue Cycle - Albany Trinity HealthMedical Billing/Revenue Cycle - AlbanyAlbany, NYRemote$20.20–$27.47 / hourResponsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary. Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users.
Medical Billing/Revenue Cycle - Ortho Team - Albany Trinity HealthMedical Billing/Revenue Cycle - Ortho Team - AlbanyAlbany, NYRemote$20.20–$27.47 / hourResponsible for monitoring the Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary. Identify and review high dollar outstanding balances and ensure Financial Assistance options are offered to patients and/ or secured by Front End users.