- CTG (Buffalo, NY)
- …9 months **Duties:** The Senior Project Manager for the Computer-Assisted Coding (CAC) and Clinical Documentation Integrity (CDI) Software Deployment ... testing. _Cross-Functional Coordination_ + Coordinate activities across operational stakeholders ( Coding , CDI, HIM, Compliance, Billing, Operations, Clinical … more
- WMCHealth (Valhalla, NY)
- …Participates in analyses of price relative to costs and payor reimbursement. + -Works with coding personnel and clinical managers to ensure codes in the CDM are ... recommended improvements. Initiates and participates in focused reviews of pricing, coding , departmental charge structure, and CDM standardization. + Works with… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and recommending and coordinating corrective actions. Review orders for appropriate clinical indications and provide ICD-10 coding . Monitor new ... insurance demographic information and medical necessity pertaining to documentation and coding . Will interact with referring physicians, patients, hospital and MSG… more
- 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
- 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 (Syracuse, NY)
- JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse 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
- University of Rochester (Rochester, NY)
- …engineering, programming, scientific data management, statistical methods for scientific and clinical research, Proficiency in coding ability (Python, R) for ... data processing and analysis, Advanced statistical analysis, Strong organizational and problem solving skills. The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's… 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
- 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
- Humana (Albany, NY)
- …discussions with an external provider. 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 policies and determinations, clinical reference materials,… more
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