- Molina Healthcare (NY)
- …Looking for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review ... verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired… more
- Fedcap (Brooklyn, NY)
- Position Summary: The Clinician provides clinical counseling and connections to additional treatment as needed for Jobs-Plus program members. What You'll Do: + ... to assist members experiencing psychological distress. + Explain the clinical counseling process and services to members and obtain...systems. + Enter (and scan) all appropriate data and coding to ensure accurate and complete member records and… more
- Bassett Healthcare (Middleburgh, NY)
- …high quality patient experience takes place by providing administrative and/or clinical support to ambulatory patient care teams through excellent customer service, ... regarding the organization and/or services, and provides directions to the appropriate clinical location as necessary. + Listens to patient's request for an… more
- Guthrie (Cortland, NY)
- …compassionate long-term care in a supportive, community-focused environment. Here, your clinical expertise is respected, your growth is encouraged, and your work ... in accordance with nursing policy. + Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate.… more
- Guthrie (Cortland, NY)
- …shifts per week (7:00 PM - 7:00 AM). Whether you're looking to broaden your clinical exposure or enjoy a better work-life balance, this role offers the best of both ... in accordance with nursing policy. + Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate.… more
- Vatica Health (Rochester, NY)
- …multiple sources and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from various sources. ... providers to meet deadlines. + Share best practices and clinical knowledge with your fellow Clinical Consultants...ED) + Proficiency with Diagnosis, Billing, and Quality Measures Coding a plus + Excellent interpersonal skills that include… more
- Datavant (Albany, NY)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge… more
- Kaleida Health (Olean, NY)
- …US:NY:Olean** **Work Type** **: Full-Time** **Shift 1** **Job Description** **Review clinical documentation and diagnosis results as appropriate to extract data and ... and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify… more
- Pearson (Albany, NY)
- …medical models and concept-based curricula. This includes knowledge of the Clinical Judgement Measurement Model, the NCLEX blueprint, and best practices for ... Technology, Medical Terminology, Medical Assistance, and Health Records Management and Coding . The Faculty Advisor will also be responsible for equipping faculty… more
- Saratoga Hospital (Saratoga Springs, NY)
- …the accuracy and completeness of work-measure/project instructions, NCQA/HEDIS(R) specifications, coding documents, and quick reference guides. + Prioritize daily ... other offices or educate staff in other departments. + Ability to support clinical and medical staff as appropriate. + Continuously seek opportunities to improve… more