• Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) ... planning, patient status changes, length of stay, patient monitoring practices, medical necessity concepts and associated regulations in case management decisions.… more
    Mohawk Valley Health System (07/09/25)
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  • Authorization Specialist Thoracic Surgery Office…

    Trinity Health (Syracuse, NY)
    …consistent with the mission and core values of St Peter's Health Partners Medical Associates. Job Duties * Submit and obtain authorization requests for service line. ... insurance policies while following all federal, state, and local medical policy guidelines. * Initiate Peer to Peer's with...➢ Preferred certification in CCS, CCS-P, CPC, or specialty coding . ➢ One to three years' experience in a… more
    Trinity Health (06/10/25)
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  • HIM Data Integrity Coordinator III

    University of Rochester (Rochester, NY)
    …in accordance with hospital policy and all needed documentation is available for coding and billing processes. Adds deficiencies to electronic health record if ... storage, retrieval, data abstraction, reporting, and accessibility of the patient medical records. Reviews, researches, and resolves problems and reduces errors… more
    University of Rochester (07/07/25)
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  • Data Integrity Coord III, HIM

    University of Rochester (Rochester, NY)
    …in accordance with hospital policy and that all needed documentation is available for coding and billing processes. Adds deficiencies to eRecord if they have not ... the storage, retrieval, data abstraction, reporting, and accessibility of the patient medical records utilized by URMC and Affiliate systems. Improves patient safety… more
    University of Rochester (06/16/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Saratoga Springs, NY)
    …Specialist! This position can further develop your skills in compliance, medical billing , customer service, and Health Information Management (HIM)! ... prior authorization * Gather additional clinical and / or coding information as necessary in order to obtain prior...experience in a healthcare environment preferred in lieu of an associate degree * Baseline knowledge of medical more
    Glens Falls Hospital (07/02/25)
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  • Specialty Pharmacy Financial Access Coord: Mount…

    Mount Sinai Health System (New York, NY)
    medical /clinical staff, fiscal personnel, department managers, access services staff, coding staff and billing assistants. External contacts include third ... technician experience + 3 years of health care related billing and/or retail pharmacy experience preferred + Registration with...The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We… more
    Mount Sinai Health System (07/01/25)
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  • Patient Access Representative, Outpatient…

    Stony Brook University (Stony Brook, NY)
    …day admissions, and hospital outpatient procedures. + Responsible for ensuring correct coding of patient types, medical services, and verification of ... authorizations to support clean billing and revenue cycle goals. + Determines eligibility and...This means that when the Hospital is faced with an institutional emergency (staff shortages, increased census, inclement weather,… more
    Stony Brook University (06/21/25)
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  • Medication Access Specialist - Specialty Pharmacy

    University of Rochester (Rochester, NY)
    medical /clinical staff, fiscal personnel, department managers, access services staff, coding staff and billing assistants. External contacts include third ... programs, and collaboration with patient financial services to assure accurate billing for the patient self-pay obligation. This overall program is intended… more
    University of Rochester (07/19/25)
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  • Physician Advisor

    Catholic Health Services (Roslyn, NY)
    … and CDI staff, updating training to include the latest clinical guidelines and coding standards. Reviews and advises on medical records to ensure documentation ... on complex cases and documentation standards. Minimum Qualifications Education: Graduate of an accredited medical school. Additional education in quality and… more
    Catholic Health Services (06/27/25)
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  • Partner, US Field Access & Reimbursement - Retina…

    Astellas Pharma (New York, NY)
    …and industry related policies impacting access/affordability, etc. -Provides education on billing / coding and reimbursement (for buy-and-bill products). + Assists ... defined geography.** Do you want to be part of an inclusive team that works to develop innovative therapies...world. We are committed to turning innovative science into medical solutions that bring value and hope to patients… more
    Astellas Pharma (05/10/25)
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