- University of Rochester (Rochester, NY)
- …complex problems that require a high level of expertise and knowledge of clinical coding , charge capture, charge entry, and systems. Investigates and resolves ... Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of...candidates for all persons consistent with our values and based on applicable law. Notice: If you are a… more
- WMCHealth (Warwick, NY)
- …certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) through AHIMA, or as a Certified ... Coder Company: Good Samaritan Hospital City/State: Warwick, NY Category: Professional/Non- Clinical Department: Health Information Management Union: NO Position: Part… more
- VNS Health (Manhattan, NY)
- …Advisory Committee and any associated workgroups related to development of evidence based clinical models of care, peer education and training, quality ... planning, counseling, and patient education. Establishes a treatment plan based on clinical findings and determines when...a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years… more
- Highmark Health (Albany, NY)
- …be responsible for collaborative work with the other members of the value- based reimbursement team, provider relations, senior markets, analytics, actuary and key ... and program implementation, as well as the development of process interventions based on practice-level data, trends and identified opportunities. Inclusive of, but… more
- University of Rochester (Rochester, NY)
- …of the following functions: billing, payment posting, charge entry, accounting, coding compliance, and/or patient inquiries. Responsible for assigning and reviewing ... Payment System requirements: + Facilitate the accurate collection of clinical data necessary to complete the IRF-PAI + Coordinate...Consult team and provide reports and analysis of data based on team's needs (5%) + Determines and submits… more
- VNS Health (Manhattan, NY)
- …of experience as a nurse practitioner utilizing full scope of practice preferred + Clinical home care experience or two years managerial experience preferred + ... referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation… 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 ... but may not be limited to, an overview of coding practices and clinical documentation, grievance and...well as a focus on collaborative business relationships, value based care, population health, or disease or care management… more
- VNS Health (Bronx, NY)
- …of experience as a nurse practitioner utilizing full scope of practice preferred + Clinical home care experience or two years managerial experience preferred + ... referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation… 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