- Molina Healthcare (Yonkers, NY)
- …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain ...position may also work with other internal departments, including Compliance , Corporate Legal Counsel, and Medical Officers… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
- Mount Sinai Health System (New York, NY)
- …operations and reducing denials. ? Expertise in authorization, registration, billing, coding , reimbursement methodologies, and regulatory compliance . ? Deep ... optimizing processes across the entire revenue cycle-including registration, pre-authorization, coding , billing, collections, reimbursement, and financial analysis-to drive revenue… more
- Albany Medical Center (Albany, NY)
- …Coordinator + Adheres to organizational policies and procedures + Supports compliance /improvement processes in relation to coding and documentation requirements ... and personal leave time + Assures credentialing status of office and medical staff + Completes purchasing and tracking of Department/Division expenses + Utilizes… more
- Trinity Health (Syracuse, NY)
- …say we are. + **POSITION SUMMARY:** Reviews, analyzes, and interprets complex medical information, applying specific knowledge of coding requirements and ... correctly classify, code and abstract health information. Works collaboratively with the medical staff and other clinical services staff. This role focuses on… more
- Fresenius Medical Center (Staten Island, NY)
- …solving. PHYSICIANS: * Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. * Responsible for strong ... * Oversees facility's Home Therapies Program if applicable. * Accountable for compliance with all applicable federal, state and local laws and regulations. *… more
- SUNY Upstate Medical University (Syracuse, NY)
- …3. Remain current/up to date on all EPIC EMR updates, HIPAA and regulator/ compliance , billing and coding . Quickly assimilate new knowledge into processes and ... Job Summary: Job duties and responsibilities of a medical scribe include and are limited to the...the physician, including but not limited to: + Patient medical history / and physical exam + Procedures and… more
- Catholic Health Services (Smithtown, NY)
- …care center; 296-bed not-for-profit community hospital and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to ... while simultaneously improving the quality of care and ensuring compliance with regulatory standards. Key Responsibilities: Clinical Reimbursement: + Documentation:… more
- Rochester Regional Health (Rochester, NY)
- …team to ensure accurate and timely clinical documentation in the medical record. RESPONSIBILITIES + Responsible for CDI operations ensuring timeliness, accuracy, ... completeness, consistency, compliance and standards fulfillment as defined in RRH and...classes. + Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures CDI staffs are appropriately educated.… more
- Fresenius Medical Center (Brooklyn, NY)
- …and oversight of the delivery of home dialysis therapies to patients in compliance with standards outlined in the facility policy and procedure manuals, as well ... + Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Follows company policies and government regulations related… more
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