- Datavant (Albany, NY)
- …recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed ... DRG downgrade denials and appeal writing for inpatient admission. Experience with clinical criteria resources and payor guidelines. **You will:** + Provide timely… more
- WMCHealth (Valhalla, NY)
- …The Performance Improvement Coordinator collaborates with the Trauma Medical Director , Trauma Program Manager, Trauma Registrars and other disciplines to ... coordinating activities to evaluate issues, promote loop closure, and enhance clinical outcomes. The Performance Improvement Coordinator is accountable for meeting… more
- Helio Health Inc. (Syracuse, NY)
- …other information to ensure payment for services, and process medical records and clinical data necessary to manage services rendered by the Agency. This particular ... for the completion of assignments. Provides supervision in conjunction with the Director of Revenue Cycle Management and the Program Service Directors. + Ensures… more
- Amgen (New York, NY)
- …do** The Cardiovascular Account Manager will report into a Cardiovascular Account Director . Their primary responsibility is to assess and diagnose the current ... data and CV product messaging for approved CV products and delivers clinical messages compliantly within all governing policies + Accountable for ensuring formulary… more
- Guthrie (Cortland, NY)
- …associated with UM processes and operations. Experience Minimum of five years clinical experience in an acute health care setting. Must possess strong communication ... benefit plans and related UM requirements preferred. Experience with CPT/ICD coding , medical record or chart auditing, and experience in utilization management… more
- iM3NY (Endicott, NY)
- …the Huron Campus in Endicott, NY, (the previous IBM Endicott site). The Director of Factory Automation Controls will work with hardware engineers and equipment ... and interpretation to production management or staff. * Design and validate clinical databases, including designing or testing logic checks. * Process clinical… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …from payers and shared within the Billing Department, Front Support Staff, Clinical Director , Audiology Supervisor, Speech Therapy Supervisor as appropriate. + ... Minimum Degree Required: + High school diploma/ GED, Medical Billing or Coding classes preferred Minimum Experience Required: + Minimum of three years' experience… more
- WMCHealth (Hawthorne, NY)
- …Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Professional/Non- Clinical Department: Development Office Union: No Position: Full Time ... pledge reminders, expense tracking, and mailings. The position reports to the Director , Development Operations. Responsibilities: + Opens and logs mail daily to… more
- The New Jewish Home (Bronx, NY)
- …a timely manner. + Ensures in-person completion of the Oasis that accurately reflects clinical and functional status of the patient. Uses diagnosis coding skills ... rate the acuity of each + Evaluates patient diagnosis and works with Director , Patient Services and physician to assign appropriate primary diagnosis. + Participates… more
- SUNY Upstate Medical University (Syracuse, NY)
- …supervision of a licensed provider. The RN/CNS will report to the UUMAS Director of Quality and Practice Operations and collaborate closely with Primary Care clinic ... chronic disease management, and available wellness resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance.… more