• Registered Nurse Clinical Denials & Appeals…

    Catholic Health (Buffalo, NY)
    …denied claims denied due to reasons including, but not limited to clinical documentation /support for diagnostic related grouping (DRG) assignment, inpatient and ... care team on an ongoing basis in relation to trends in denials, and clinical documentation . Responsible for working alongside coding, clinical more
    Catholic Health (04/23/25)
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  • Research Associate/ Clinical Coordinator…

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Research Associate/ Clinical Coordinator -Cancer Care - Albany, NY - FT** We are currently ... with a highly qualified candidate who possesses robust experience as a clinical trial study coordinator. Experience in oncology is preferred. The ideal candidate… more
    Trinity Health (05/15/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation . Additionally, the role includes analyzing and optimizing ... active and discharged medical records. + Assures accuracy and timeliness of clinical documentation in Medical Records and/or Electronic medical record solution.… more
    CenterLight Health System (05/17/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Rochester, NY)
    …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
    Excellus BlueCross BlueShield (05/17/25)
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