- Mount Sinai Health System (New York, NY)
- …Description** **Director Medical Affairs Operations-Medical Staff Services -Full-Time -Days ( Remote )** _Our flexible remote opportunities offer an excellent ... opportunity for those who flourish in a remote environment to achieve improved work/life balance as well...all matters related to medical staff governance, credentialing, peer review and performance management; + In collaboration with the… more
- Cardinal Health (Albany, NY)
- …to ensure a positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides ... of all program compliance activities, product training and adverse event/product quality complaint training. + Oversight of clinical training, coach,… more
- Nuvance Health (Carmel, NY)
- …KPI's. * Holds monthly clinical meetings with providers and staff to review clinical KPI and implement/monitor process improvement plan. * Utilizes patient ... include Growth/Financial Stability, Patient Experience, Operational Efficiency, Employee Satisfaction/Culture, Quality * Demonstrates clinical expertise and serves… more
- Mount Sinai Health System (New York, NY)
- …Sinai Hospital **Responsibilities** **New Charge Requests & Clinical Documentation Review :** + Review clinical documentation to validate appropriate ... **Job Description** **Senior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days ( REMOTE )** We seek an experienced Senior Financial Analyst / CDM… more
- Trinity Health (Albany, NY)
- …for procedures as directed by provider. Performs pre-visit planning and reviews quality metrics. Retrieves telephonic clinical information from patients who call ... MS & Headache - Albany, NY - full time -hybrid/ remote after training** If you are looking for a...Uses the electronic medical record to communicate effectively. Performs quality assurance duties as assigned. Provides a clinical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities.… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Clinical Documentation SpecialistDepartment: Clinical Documentation ImprovementLocation: Riedman Campus ( Remote ) Hours Per Week: Full-Time, 40 ... PACU. + Registered nursing degree required, BSN preferred. Other clinical education may be considered, such as PA, NP,...(SOI), risk of mortality (ROM), complexity of care, and quality + Accurate and timely record review … more
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: $60,367.47 - $90,551.20 This position has remote opportunity Professional Coding Auditor will apply an advanced professional coding ... expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as...fee coding - required Essential Duties and Responsibilities + Review , analyze, and validate CPT and ICD-10 diagnosis codes… more
- Datavant (Albany, NY)
- …vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's… more
- Centene Corporation (New York, NY)
- …be working with our Children member's - ages 0-18.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance ... the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or assess treatment plans… more