- Saratoga Hospital (Malta, NY)
- …Assists management with quality assurance as needed. Admitting areas-complete inpatient admission process. * Verify Insurance: Obtains insurance information and ... and verification tools and online resources. Check Medical Necessity. Diagnosis Coding and abstracting when needed by department. Able to complete authorization… more
- Mohawk Valley Health System (Utica, NY)
- …and compliant preparation and delivery of sterile products for both inpatient and outpatient infusion patients. This role integrates clinical expertise, regulatory ... accurate charge capture and compliance with payer documentation and infusion coding requirements. + Participate in multidisciplinary committees (eg, P&T, Oncology,… more
- Mohawk Valley Health System (Utica, NY)
- …RECEIVABLE & COLLECTION Job Summary The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to ... HMOs, and Worker's Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus. Core Job Responsibilities + Promotes a… more
- Albany Medical Center (Albany, NY)
- …conjunction with the attending physicians. + Rounds and coordinates care for our inpatient consult service for patients who are admitted to other services including ... medical assisted therapy for opioid use disorder. + Completes accurate patient coding for effective billing, maintain accurate and detailed patient medical reports,… more
- Mount Sinai Health System (New York, NY)
- …all aspects of authorization across the healthcare system. This includes inpatient , outpatient, professional and ambulatory care settings. The director is charged ... improvement plans as needed. . Collaborate with departments such as billing, coding , IT, clinical operations, and compliance to ensure a seamless authorization… more
- Molina Healthcare (NY)
- …for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment ... At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant… more
- Guthrie (Cortland, NY)
- …benefit plans and related UM requirements preferred. Experience with CPT/ICD coding , medical record or chart auditing, and experience in utilization management ... of the authorization/certification process for elective short procedures and inpatient care services in collaboration with physician offices, hospital Business… more
- Mount Sinai Health System (New York, NY)
- …a problem/ medication list for each patient; **B. Documentation/Charting and Coding ** + Ensure that all patient encounters (consultations, referrals and follow-ups) ... academic promotion and preparation for leadership roles. + Serve as Adolescent Medicine inpatient consult service attending up to 3 weeks annually (when school is… more
- SUNY Upstate Medical University (Syracuse, NY)
- …for the day-to-day insurance authorization oversight of both outpatient and inpatient rehab therapy activity for the department. Duties include: operation, ... monitoring of changes in insurance and reimbursement requirements inclusive of coding and treatment authorization and making recommendations to optimize compliance.… more
- Stony Brook University (Stony Brook, NY)
- …the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on ... prioritize their work and follow up with cases. **Preferred:** CM, UM, Quality, Coding , Risk or MCG Certification Working knowledge of MCG or Interqual PRI Certified… more