- BronxCare Health System (Bronx, NY)
- Overview The Clinical Documentation Specialist will work with Senior Director in physician education regarding documentation that meets severity of ... Type Regular Full-Time Division BronxCare Hospital Center Min USD $115,000.00/Yr. Shift Day Shift Department : Name Clinical Doc Specialist Depart (BHCS) more
- Northwell Health (Lake Success, NY)
- …on missing account information, and resolve past due accounts. 10.Works with clinical research, coding , billing, compliance, and other internal or potentially ... **Req Number** 176486 Job Description Supports clinical research billing compliance and all aspects of...clinical research billing compliance and all aspects of clinical trials billing reviews. Provides daily coordination, monitoring and… more
- WMCHealth (Valhalla, NY)
- … improvement activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding . . Documents and maintains records ... competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with compliance audits and other duties as… more
- Northwell Health (Melville, NY)
- …serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility + Serves as liaison between the ... retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness… more
- Northwell Health (Melville, NY)
- …as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient ... retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness… more
- University of Rochester (Rochester, NY)
- …deduplication, missingness assessment, outlier handling, and normalization of structured clinical concepts. + Performs data quality checks and maintains logs ... + Demonstrates accountability for continuous learning in accordance with Good Clinical Practice standards and guidelines. Maintains requisite skills and mandatory… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation. + Communicate effectively with… more
- Trinity Health (Syracuse, NY)
- …denial processes. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified Coding Specialist , Accredited Record Technician (or eligible), ... July 1997 Revised: October 2009 Revised: August 2011 **General Performance Criteria: Coding Specialist ** **Expectations** **Exceeds Meet Below** . Reviews the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …services from payers. This position provides a vital link between inpatient coding , clinical documentation improvement, Patient Access (PA) and Patient Financial ... general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement for HIS… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal ... Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding of… more