UNKNOWN

FEED

Identifies any potential overpayments or underpayments by analyzing claims, on a 30-day lookback, to identify any discrepancies between billed DRGs and the actual services provided. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns.

YEAR

Ensemble Health Partners

DRG Validation Coding Auditor

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Preferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.

Elevance Health

DRG Clinical Validation Lead

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Preferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.

DRG Clinical Validation Auditor - RN (Cdi, Ms-Drg, Ap-Drg & Apr-Drg)

FULL_TIME

OTHER

Knowledge of: Current Procedures Codes (CPT) and International Class of Diseases Codes (ICD9/10) utilized in medical billing; medical billing software; healthcare billing including Medicare, Medicaid, or other third party payers; terminology utilized in medical billing; English usage, grammar, and spelling; basic math. Reporting to the Assistant Director, Professional Billing, the Revenue Integrity Analyst is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection and ensures the overall integrity of the charge capture process.

NYU Langone Health

Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred)

silkroad ATS feed

ADAPTED_NOW

<p>  NYU Langone Medical Center, a world-class, patient-centered, integrated, academic medical center, is one of the nation’s premier centers for excellence in clinical care, biomedical research and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals: Tisch Hospital, its flagship acute care facility; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; Hassenfeld Pediatric Center, a comprehensive pediatric hospital supporting a full array of children’s health services; and the Rusk Institute of Rehabilitation Medicine, the world’s first university-affiliated facility devoted entirely to rehabilitation medicine--plus NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center’s tri-fold mission to serve, teach and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to <a href="http://NYULMC.org" target="_blank">NYULMC.org</a>. </p>

NYU Langone Medical Center

The Certified Medical Auditor works collaboratively with coding, clinical, billing, compliance, and leadership teams to educate staff, improve documentation and coding accuracy, and support ongoing audit and compliance initiatives. Identify coding errors, documentation deficiencies, compliance risks, overcoding, undercoding, unbundling, incorrect modifiers, and other billing discrepancies.

UBMD Physicians Group

Certified Medical Auditor

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Monitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors. Evaluate AI-generated coding assignments, including ICD-10-CM/PCS , CPT/HCPCS , and DRG assignments.

HOUR

Mercor

Medical Coding Leader - Fully Remote

Manatal

UB Associates

partner Hirebridge

We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.

Mount Sinai Health System

Procedural Billing Specialist II-MSW-FT Days

HIM Coding Manager - AI Specialist

Total Rewards: Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Completes intake assessments and comprehensive assessments, including diagnostic formulations and preliminary treatment goals, objectives, and methods, within 30 days of referral, as per New York State Office of Mental Health rules and regulations.

Bassett Medical Center

LMSW/LMHC/LCSW - Sherburne Earlville School Based Health Center

[AW]-iCims

PART_TIME

LCSW (Will Also Consider LMSW or LMHC) - Unatego School Based Health - Part Time

Bassett Healthcare Network's commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Completes intake assessments and comprehensive assessments, including diagnostic formulations and preliminary treatment goals, objectives, and methods, within 30 days of referral, as per New York State Office of Mental Health rules and regulations.

Inpatient Coder Jobs in New York

DRG Validation Coding Auditor Ensemble Health Partners

DRG Clinical Validation Lead Elevance Health

DRG Clinical Validation Auditor - RN (Cdi, Ms-Drg, Ap-Drg & Apr-Drg) Elevance Health

Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred) NYU Langone Health

Revenue Integrity Analyst (FGP) - Manhattan, CBO North Billing (CPC highly preferred) NYU Langone Medical Center

Certified Medical Auditor UBMD Physicians Group

Medical Coding Leader - Fully Remote Mercor

Certified Medical Auditor UB Associates

Procedural Billing Specialist II-MSW-FT Days Mount Sinai Health System

HIM Coding Manager - AI Specialist Mercor

LMSW/LMHC/LCSW - Sherburne Earlville School Based Health Center Bassett Medical Center

LCSW (Will Also Consider LMSW or LMHC) - Unatego School Based Health - Part Time Bassett Medical Center

LMSW/LMHC/LCSW - Sherburne Earlville School Based Health Center Bassett Healthcare Network

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