Effective September 27, 2021, Rochester Regional Health requires all employees and affiliated personnel to be vaccinated against COVID-19. Medical exemptions will be reviewed.

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Quality Coding Lead - Cognisight

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Job ID REQ_163697 FACILITY Riedman Campus LOCATION Rochester, New York

Ensure overall coding quality review completion:

  • Ability to work in a fast paced, complex organization, with regulated deadlines while providing consistent high quality results to multiple clients
  • Be the subject matter expert for all LOB coding
  • Ongoing quality review of coders – approximately 120-150 charts per week, to ensure quality review for coders assigned are completed and maintain 95% or higher
  • Provide quality results to Quality Supervisor, discussing any identified trends or training needs
  • Ability to analyze patterns seen within quality results


  • Health Information Management and or Coding Certification (s) /Certified Professional Coder with 10+ years of a combination of coding and management experience. CPC and/or CRC, RHIT/RHIA required
  • HCC and ICD-10 coding experience in Medicare Advantage, Commercial, PACE and Medicaid Managed Care risk adjustment models
  • High level of professionalism
  • Experienced conference and client presentation skills
  • Healthcare/Health Plan or Medicare/ACA background required
  • Working knowledge of risk adjustment and government audits as demonstrated with health plans
  • Must be self-directed and strong business acumen
  • Proficiency in Microsoft Office Suite and proprietary software tools
  • Strong written and verbal communication internally and client facing
  • Excellent organizational skills and priority setting for self
  • Bachelor’s degree preferred

Additional Requirements:

  • Physical ability to travel is necessary

Please forward resumes to Careers@Cognisight.com

PHYSICAL REQUIREMENTS S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
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