- Ankura (New York, NY)
- …record documentation and understand regulatory compliance guidelines and policies + Competent in medical coding + Proficient in review of revenue cycle data ... and understand client concerns and develop project work plans + Conducts independent review of medical records + Drafts clear and concise analyses of medical … more
- CDPHP (Latham, NY)
- …coding of risk adjustment eligible members. This position will have responsibility for review of medical records to identify accurate ICD-10 diagnosis codes, ... Strong knowledge of medical terminology, anatomy and physiology, and medical chart review required. + Knowledge of ICD-10 diagnosis and procedure codes, CPT… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review / Medical and Case Management services for Group Health and Workers' Compensation ... years' experience in a clinical environment required. + Strong skills in medical assessment/ medical record review . + Excellent customer service skills. +… more
- University of Rochester (Brighton, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Medical Records Review Coordinator's (MRRC) primary objective is ... Finger Lakes Donor Recovery Network (FLDRN) donation service area hospitals electronic medical record systems and internal electronic medical record systems.… more
- City of New York (New York, NY)
- …findings and determinations regarding the plan of care. - Provide consultation to HRA Medical Review Team and social service staff at HRA's request. - Complete ... self-audits of State approved assessments and medical review of charts. - Work toward obtaining PRI/screen certification and conduct assessments of clients… more
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …Patient Safety activities (mechanism of action etc.) + Act as a resource for medical review for complex ICSRs, and other data sources of assigned compounds ... activities. + Ability to utilize GPS safety database for purposes of medical case review and simple queries. **To be considered for this opportunity, you must… more
- Centene Corporation (Queens, NY)
- …such as ICD 10 codes, medical abbreviations, medications. Experience in medical records review , claims processing or utilization and case management in ... Quality Assurance RN will work in various capacities to review , monitor and train staff in the Long Term...order to ensure that all components of the Member's medical record are completed with quality standards and accuracy… more
- Molina Healthcare (NY)
- …with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of records ... and data entered by the abstraction team during the annual HEDIS medical record review as well as all other HEDIS/HEDIS like project. Mentors entry-level… more
- Trinity Health (Albany, NY)
- …Brings patient to exam room, takes appropriate vital signs and documents in electronic medical record. + Review and update medication list to ensure accurate and ... complete list in electronic medical record (EMR) available for provider review and submission. + Complete referrals and tracks patients' compliance. + Review … more
- The Arc Otsego (Oneonta, NY)
- …with supervisor, admin team, subordinates, and all site based agency programs regarding medical needs. + Review , develop, and implement training and development ... at each residence at least once every six months. + Complete a Medical Records Review Assessment at least once every six months. + Complete semi-annual pharmacy… more