- Nuvance Health (Poughkeepsie, NY)
- …the denial where possible. 5. Supports the effective prevention and management of denials , including providing information as part of the appeal process. 6. Serves ... as the lead in obtaining financial and other resources for patients/families in need. 7. Assesses the patient and family for continuing care needs to develop, implement and evaluate an effective discharge plan in collaboration with the multidisciplinary team.… more
- Catholic Health Services (West Islip, NY)
- …and consultant initiatives addressing activities relative to Care Management and Denials . Identifies opportunities for improvement that result in development of ... efficient processes and enhanced revenue. Provides guidance and education to the Care Coordination department, Medical Staff, and SCSH Administrative Staff. Ensures compliance with Hospital Conditions of Participation. Implements care management programs,… more
- Mount Sinai Health System (New York, NY)
- …preparation of budgetary recommendations. 6.Reviews and monitors daily statistics of denials and accounts reviewed by staff. Assesses accounts for collection ... viability. 7.Round with Building Service staff, Nurse Managers, Engineering and other staff to document and ensure appropriate resolution on environment and other issues. 8.Assists in the development of new methods, procedures and/or processes to increase… more
- SUNY Upstate Medical University (Syracuse, NY)
- …that all information is complete and appropriate for maximum reimbursement, minimal denials , and adherence to carrier rules. Works with various computer programs ... such as EPIC and Outlook for patient care needs and to facilitate carrier requirements for reimbursement. Other office duties as needed. Minimum Qualifications: For consideration for this title, you must meet the following minimum qualifications: One year… more
- Mohawk Valley Health System (Utica, NY)
- …with diagnostic and procedural coding + Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding related policies and ... procedures + Mentor new staff + Perform other duties as required. Education/Experience Requirements REQUIRED: + AS in Health Information Management, a related degree or equivalent experience + RHIA, RHIT, CCS, CCA, CPC, CIC Certification + Knowledge of EMR,… more
- Independent Health (Buffalo, NY)
- …Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals Management (C-DAM), or NYS licensed RN or LPN ... required. LPN or RN preferred. + Four (4) years of experience working in a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM and ICD-10-PCS coding… more
- Catholic Health (Cheektowaga, NY)
- …clients. Additionally the position is responsible to manage and reduce coding denials ; assist implementing EMR updates to improve documentation accuracies and reduce ... coding denial rates; maintaining and updating the claim scrubbers ensuring all coding edits are current and compliant with applicable federal and state regulation and with CMS and AMA coding guidelines. The Director will be responsible to maintain coding… more
- Northwell Health (Lake Success, NY)
- …inquiries, collecting payments, assisting in helping resolve payer enrollment related denials and other problems, attending to inquiries regarding an account. Job ... Responsibility + Assists in processing and managing patient claims. + Assists in collecting payments from third party insurance carriers and patients. + Assists in resolving any issues relating to the physician account. + Assists in answering any questions… more
- Mohawk Valley Health System (Utica, NY)
- …testimonies. Act as a liaison with payers to facilitate approvals and prevent denials or carved out days when appropriate. Provide telephonic and written appeals as ... requested for commercial payors. + Perform reviews and appeals. (Peer-to-peer, retrospective/closed record review, concurrent appeals). + Act as a liaison between the CDI professional, HIM, and the hospital's medical staff to facilitate accurate and complete… more
- Crouse Hospital (Syracuse, NY)
- …Cycle Directors and conducts regularly scheduled meetings with departments to review denials and rejections. + Monitors accuracy of demographic patient and third ... party billing information gathered by Patient Access areas. + Responsible for monitoring patient complaints and reports any unresolved issues to the appropriate department or appropriate management. Maintains reports of trends of complaints to initiate… more