- CDM Smith (Poughkeepsie, NY)
- …field, reviews FEMA Public Assistance applicant data, and makes recommendations regarding claim eligibility. * Documents damages, scopes of work and estimated costs ... to repair or replace a facility or structure. Reviews estimates against the final cost. * Provides analyses and updated reports, participates in status update meetings with FEMA, and identifies the need for technical specialists. Analyzes data and information… more
- Mount Sinai Health System (New York, NY)
- …of the beneficiary, as coded and reported by the hospital on its claim , matches both the attending physician's description and the information contained in the ... beneficiary's medical record. Responsible for performing quality reviews of medical records to validate correctness and appropriateness of the assigned International Classification of Diseases, 10th Revision (ICD-10-CM and ICD-10-PCS) codes and the Diagnosis… more
- SUNY Upstate Medical University (Syracuse, NY)
- …elective procedures and elective admissions. Conduct quality analysis of registrations, works claim edit and account level work queues and acts as a liaison ... between the end users and training team. Meets accuracy rate within established guidelines. Provide flexibility in schedule to accommodate staffing needs of the department. Will participate in cross-training in other admitting areas. Will need to be able to… more
- Mount Sinai Health System (New York, NY)
- …in health system documentation system. 2. Data analysis: such as payer data and claim 3. Support the pharmacist to implement the patient's care plan, such as ... navigating insurance benefits, assisting with provider communication 4. Provide medication, lifestyle, and disease state counseling 5. Coaches patients, families, and/or authorized care givers on how to use existing skills and develop new ones to make… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for work. + Develops financial projections, risk score analysis, unpaid claim liability estimates and conducts actuarial analysis for well-defined projects as ... directed. + Compiles and analyzes data to draw conclusions and make recommendations. + Proposes and assists in the development of process improvements utilizing system and software applications to full potential and participates in activities and projects as… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more
- Catholic Health (Cheektowaga, NY)
- …documentation accuracies and reduce coding denial rates; maintaining and updating the claim scrubbers ensuring all coding edits are current and compliant with ... applicable federal and state regulation and with CMS and AMA coding guidelines. The Director will be responsible to maintain coding education materials accurate and current based on coding guidelines and policies to be shared with all practices/private clients… more
- Travelers Insurance Company (New York, NY)
- …designation. **What is a Must Have?** + Four years of underwriting, claim , operations, risk assessment, actuarial, sales, product, or finance experience. **What Is ... in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k)… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Quality assurance and training, resolving ED Missing Reg Items work queues and claim edit errors, Assists with audits & analysis of denials. Assists with development ... of training materials. Appropriately relays issues identified as needing higher level of intervention. Acts as liaison between the Emergency Department & Registration when problems/issues arise. Provide direction and leadership to subordinate staff assigned to… more