- Mount Sinai Health System (New York, NY)
- …touches, aged AR trends and billing lags. + Collaborate with department such as coding , IT, clinical service areas and appeals to ensure seamless end-to-end ... across departments (eg, DTP, Human Resources, Managed Care, Finance, and clinical departments) + Collaborates with finance, managed care and DTP contributors… more
- Catholic Health Services (Melville, NY)
- …was named Long Island's Top Workplace! Job Details The Professional Fee (ProFee) Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource ... for providers to improve the accuracy of clinical documentation to support patient complexity and acuity, risk...to support diagnoses These reviews are in contrast to coding /compliance reviews, which evaluates what is written in the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …all endoscopy and procedural procedures and assures that all of the appropriate clinical , equipment and insurance coding information is collected for the surgery ... schedule. Scheduler receives requests to schedule procedures from physician offices and schedules the procedure according to established guidelines and policies. Scheduler provides accurate information so that all departments may view daily, and maintains open… more
- SUNY Upstate Medical University (Syracuse, NY)
- …all surgical and procedural procedures and assures that all of the appropriate clinical , equipment and insurance coding information is collected for the surgery ... schedule. Scheduler receives requests to schedule procedures from physician offices and schedules the procedure according to established guidelines and policies. Scheduler provides accurate information so that all departments may view daily, and maintains open… more
- Rochester Regional Health (Rochester, NY)
- …as federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing. + Demonstrates advanced clinical expertise and ... Job Title: Director, CDI Department: Clinical Documentation ImprovementLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am - 4:30pmSUMMARY The … more
- Molina Healthcare (Buffalo, NY)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services, length of stay and… more
- Humana (Albany, NY)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- CenterWell (Albany, NY)
- …conflict resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
- Humana (Albany, NY)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference… more
- Humana (Albany, NY)
- …Other duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including ... and work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference… more