- Northwell Health (Garden City, NY)
- …Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare /non- Medicare charts for ... Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Validates Acute Inpatient… more
- Mount Sinai Health System (New York, NY)
- …proficiency in the procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: ... party payers, accrediting bodies, insurance /PBM companies, government peer review organizations, accrediting bodies,external partners, and referring physicians. The… more
- Northwell Health (Westbury, NY)
- …Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the ... + Applies coding rules and regulations to the validation review process. + Reviews codes on Medicare /non-...range for this position is $90,000-$145,000/year It is Northwell Health 's policy to provide equal employment opportunity and treat… more
- Humana (Albany, NY)
- …relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , SNF, DME, dual Medicare /Medicaid and Waiver requests. The ... coverage** + **Develop collaborative relationships with Team and key partners within the Medicare Line of Business.** + **Support Home Solutions as needed** +… more
- Humana (Albany, NY)
- …relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , SNF, DME, dual Medicare /Medicaid and Waiver requests. The ... weekend coverage + Develop collaborative relationships with Team and key partners within the Medicare Line of Business. + Support Home Solutions as needed +… more
- Humana (Albany, NY)
- …develop and maintain medical coverage policies utilizing an evidence based medicine review process. **Location:** work at home anywhere Humana is seeking ... medical directors and leadership during Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical… more
- New York State Civil Service (NY)
- …of discharge summaries prior to accepting an individual back into the group home residence.* Review medical information for new admissions to a residence ... Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 Bargaining Unit PS&T -… more
- Stony Brook University (Stony Brook, NY)
- …Bachelor degree, an Associate Degree plus a minimum of fifteen years nursing home billing and collection experience. Experience with Medicare , Medicaid, NAMI ... following but are not limited to:** + Billing for Medicare (Part A & B), Medicaid, Private, Insurance, NAMI,...obtain medical clearance from the Long Island State Veterans Home Employee Health Department. + Complete electronic… more
- Catholic Health Services (Rockville Centre, NY)
- … system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the ... Overview Catholic Health is one of Long Island's finest ...assigned reports and provide accurate and timely information for review by the Director of Reimbursement or their designee.… more
- WMCHealth (Warwick, NY)
- …Home , Assisted Living, and Home Care Programs. Obtains Patient Review Instrument Certification and Pre-Admission Mental Health Screening capability while ... other providers, regulatory agencies, billing agencies, and auditing agencies including Medicare , Medicaid, and third-party billers. + Scans, uploads, and files… more