- Northwell Health (Lake Success, NY)
- …documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the ... documentation requirements and provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10… 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
- 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
- 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
- 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
- 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
- Catholic Health Services (Roslyn, NY)
- …Long Island's Top Workplace! Job Details We are seeking an experienced Authorization Specialist to join our cardiology office, where your expertise will play a ... & Qualifications: Education/Experience: + Proven knowledge of CPT and ICD-10 coding , with strong written communication skills. + Familiarity with third-party payer… more