- 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
- Trinity Health (Syracuse, NY)
- …in office procedures and pharmaceuticals including off label drugs, and drugs for clinical trials. The Authorization Specialists will perform all job functions in a ... Peer's with payer while working closely with providers and clinical staff to obtain letters of Medical Necessity to...Scans in approval letters after verifying for accuracy. Authorizations Specialist I * Contact the insurance company to check… more
- New York State Civil Service (West Haverstraw, NY)
- NY HELP No Agency Health, Department of Title Adaptive Equipment Specialist (Helen Hayes Hospital) - 70216 Occupational Category Other Professional Careers Salary ... Code 10993 Duties Description Responsible for measuring instruments when verifying clinical equipment safety and performance; ensure test equipment has been… more
- Catholic Health Services (Melville, NY)
- …charge capture processes for new services and/or new/updated technology. Works with Coding and clinical departments to identify/resolve errors based on ICD/CPT ... guidance and communication on correct charge capture and billing processes to clinical department and facilities. Perform periodic reviews and assessments of charge… more
- Fujifilm (Albany, NY)
- **Position Overview** The Sales Specialist , Diagnostic Oncology, in the Invitro Diagnostics Division, is responsible for identifying, prioritizing, and establishing ... understanding of IVD reagent systems, distribution modalities, as well as clinical performance and utility of assays. **Company Overview** At FUJIFILM Healthcare… more
- Elevance Health (Latham, NY)
- …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes… more
- Highmark Health (Buffalo, NY)
- …not limited to: Advising primary care practices, physicians, nurses and other clinical staff to assist them on their conversion to value-based care; Dissemination ... relevant, dissemination and support of gap closures for STARS and improved coding for government populations. Identification of process improvement gaps in workflow… more
- Rochester Regional Health (Rochester, NY)
- …improve services and operating methods related to OR and Procedural charge capture, coding , billing, and compliance. The role of the Billing & Compliance ... Specialist will be to assist in ensuring accurate and...times. Corrects as appropriate. + Collaborates with the OR Clinical Leaders, Purchasing, Revenue integrity, and Supply Chain to… more
- Saratoga Hospital (Saratoga Springs, NY)
- Patient Access Specialist Location: Saratoga Springs, NY Employment Type: Full Time Shift/Schedule: Varies Department: Community Health Center-Primary Care Salary ... the Role We're looking for a dedicated Patient Access Specialist to join our team and help us continue...verification tools and online resources. Check Medical Necessity. Diagnosis Coding and abstracting when needed by department. Able to… more
- WMCHealth (Hawthorne, NY)
- Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: ... Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis and reporting for all… more