- Datavant (Albany, NY)
- …and payor guidelines. * **What you will bring to the table:** + Two (2) years managed care experience in UM/CM/ CDI Department preferred + Knowledge of CMS, ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health… more
- Mohawk Valley Health System (Utica, NY)
- …, end-of-life- care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care , pay-for-performance ... advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and...concurrent appeals). + Act as a liaison between the CDI professional, HIM, and the hospital's medical staff to… more