- Catholic Health (Buffalo, NY)
- …+ Patient Access + Health Information Management + Coding and Coding Education + Inpatient, Outpatient and Ambulatory Clinical Documentation Integrity + ... Health. This role also has secondary oversight for inpatient clinical denials, Utilization Management and vendor performance of Healthcare...+ Catholic Health Employed Physician Groups + Catholic Health Home and Community Based Care + Trinity… more
- UHS (Norwich, NY)
- …Office to refine and monitor billing. Acts as a resource to physicians, clinical staff and business office staff regarding coding questions; provides regular ... for division employee management and staffing. This includes determining staffing standards based on patient care needs, patient flow, procedures and other … more
- Molina Healthcare (Yonkers, NY)
- …regularly and directly engaging in patient care. Provides education on clinical guidelines, coding , quality measures, and documentation excellence. **Job ... , high-quality patient care via in-person and telehealth visits based on clinical and business need. +...critical thinking skills. **PREFERRED QUALIFICATIONS:** + Leadership experience. + Home visit/ Home health experience. + Bilingual To… more
- Humana (Albany, NY)
- …requirements set by enterprise teams to include Medicaid Governance, the Center of Clinical Effectiveness Services & Products, as well as external reporting to the ... Ability to work independently to design and deliver descriptive clinical analytics projects to profile clinical populations...tables, charts, V-Lookups and graphs. + Working knowledge with coding in SQL and data extraction and (BI) analysis… more
- Humana (Albany, NY)
- …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and… more
- Humana (Albany, NY)
- …this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review ... may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes,… more
- Humana (Albany, NY)
- …this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review ... discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate and consistent ... current and working knowledge of Utilization Management Standards. + Clinical skills are excellent and evidence- based medicine...including fluorescent lighting. + Ability to work in a home office for continuous periods of time for business… more
- University of Rochester (Rochester, NY)
- …and interpretations of gynecologic specimens including retrieval of all significant clinical history, referral of all abnormal smears to pathologist for consulting ... diagnosis, one on one interpretation of abnormal with the pathologist and recording, coding and reporting of diagnosis and filing patient smears. Rescreens 10% of… more
- Parexel (Albany, NY)
- …leverage your medical expertise to ensure the safety of patients in clinical trials and post-marketing settings. In this pivotal role, you'll perform comprehensive ... to (including complex and challenging cases requiring expert judgement)), clinical trial, and literature cases including combination products {drug-device})… more
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