• Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    …the discharge status of the beneficiary, as coded and reported by the hospital on its claim, matches both the attending physician's description and the information ... 5 years of experience coding in an acute care hospital . Validation and auditing experience preferred. ? Excellent current...medical diagnoses or conditions that are clinically evident. Reviews coder queries to determine if the query is supported… more
    Mount Sinai Health System (07/17/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor ... - PFS 633 Third Avenue - MSH, Mount Sinai Hospital **Responsibilities** + Conduct thorough charge capture/clinical audits to...48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of… more
    Mount Sinai Health System (09/24/25)
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  • School Based Health Social Worker - LMSW, LCSW,…

    Bassett Healthcare (Gilbertsville, NY)
    …State Office of Mental Health rules and regulations and in accordance with hospital policies and practices + Performs outpatient emergency or urgent evaluations ... department needs. (SBHC/Dept of Health regulations) + Provides psychotherapy on an outpatient basis to individuals, and groups in accordance with Office of Mental… more
    Bassett Healthcare (08/28/25)
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  • Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient ) billing and/or medical necessity reviews. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
    Cardinal Health (08/27/25)
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  • Clinical Denials and Appeals-Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …documentation/support for diagnostic related grouping (DRG) assignment, inpatient and outpatient medical necessity. The individual also works to maintain third-party ... the following (or similar) credentials: Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case… more
    Catholic Health (10/01/25)
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