- University of Rochester (Rochester, NY)
- …medical suitability for organ and/or tissue donation through laboratory studies, medical record review and physical assessment. + Completes authorization form ... (DRAI) once willingness to donate is identified. + Provides appropriate medical information regarding potential donor's organ function to personnel at designated… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …practice and regulatory standards. * Participate in quality improvement initiatives, peer review , and continuing medical education. * Promote patient education, ... Endocrinology Classification: Exempt, Full-Time Reports to: CEO About Premier Medical Group: Premier Medical Group of the...to: CEO About Premier Medical Group: Premier Medical Group of the Hudson Valley is a multi-specialty… more
- CDPHP (Latham, NY)
- …of prescription and medical benefits as it applies to the utilization review process. + Must demonstrate proficient experience with the Microsoft Office suite. + ... Must be conscientious, efficient and accurate in prior authorization, exception and medical /Rx necessity review processing. + Continually strive to develop… more
- LaSante Health Center (Brooklyn, NY)
- …patient encounters accurately. + Research data for reimbursement needs. + Analyze medical records for documentation deficiencies. + Review documentation to ... Medical Coder LaSante Health Center is seeking a detail-oriented in-person Medical Coder to ensure accurate coding and abstraction of patient encounters. The… more
- Molina Healthcare (Syracuse, NY)
- …data. * 5+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of ... analysts on software applications, business domain and design standards. *Conducts peer review of other analysts (internal and contract staff) to ensure standards… more
- Albany Medical Center (Albany, NY)
- …documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... to achieve continuous improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up… more
- SUNY Upstate Medical University (Syracuse, NY)
- …contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients are at ... hospital stay. The UR-CR 1 will collaborate with the medical team and the UR medical directors...clinical conceptual understanding for purposes of level of care review . Strong communication skills, both written and verbal, as… more
- City of New York (New York, NY)
- …of treatment as it relates to the claimant's work injury and assist with medical case management of claims. Review and process high value and complicated ... patients and aggressively negotiate rates for sub-acute and/or home care. Review independent medical examinations to ensure quality control of reports and verify… more
- SUNY Upstate Medical University (Syracuse, NY)
- …(formerly known as a Certified Tumor Registrar), Performs abstracting and data entry: review and interpret medical records to be abstracted into an electronic ... diagnostic, clinical, treatment and pathologic data. Perform casefinding duties and monthly review of neoplasm discharge listings to ensure all reportable cases are… more
- BP Americas, Inc. (New York, NY)
- …contingent upon adherence to local policy. This may include pre-placement drug screening, medical review of physical fitness for the role, and background checks. ... **Entity:** Customers & Products **Job Family Group:** Sales Group **Job Description:** **This position can be based out of New York City, Log Island, Northern NJ or close proximity.** The Business Development Lead act as the direct liaison between our dealer… more