- 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 ... existing workflows to identify opportunities for improvement and reduction of denials . + Team Collaboration: Participate in ongoing projects as necessary, meet… more
- Finger Lakes Health (Geneva, NY)
- …medical services, procedures, or medications by verifying coverage, collecting clinical and demographic information, and documenting all communication. Key ... include managing the submission and tracking of authorization requests and denials , coordinating and scheduling patient appointments and procedures, acting as a… more
- Rochester Regional Health (Rochester, NY)
- …+ Performs other duties as assigned. REQUIRED QUALIFICATIONS + Must obtain Certified Clinical Documentation Specialist (CCDS) within two years of hire. + Minimum ... Job Title: Director, CDI Department: Clinical Documentation ImprovementLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am - 4:30pmSUMMARY The … more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount ... financial health and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the… more
- Mohawk Valley Health System (Utica, NY)
- …+ Provide guidance and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. ... potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals… more
- University of Rochester (Rochester, NY)
- …referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non- clinical staff, identifying barriers to appointment ... functionality required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to insurance or… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with referring physicians, patients, hospital and MSG staff ensuring quality demographic and clinical information is obtained at the time of scheduling or prior to ... internal audits and maintain all documentation. Review and analyze insurance denials , identifying problem areas and recommending and coordinating corrective actions.… more
- Albany Medical Center (Albany, NY)
- …professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are ... + Responsible for communicating both verbally and written to physicians, clinical departments, medical coders, and management teams. + Query and/or consult… more