• RN - MDS Nurse Assessor

    Elderwood (Lake Placid, NY)
    …for Full-time and Part-time positions Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself an expert in assessment and reimbursement ... mix systems + Conduct resident interviews + Compile, monitor, and audit clinical documentation + Communicate clinical issues effectively to appropriate clinicians… more
    Elderwood (07/08/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …+ Researches technical guidance in UB-92 Editor, CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance. + ... status of audits and issues presented. + Participates in quantifying audit outcomes, including revenue realized + Researches and communicates appropriate treatment… more
    WMCHealth (06/27/25)
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  • Denial Management Specialist, Department…

    BronxCare Health System (Bronx, NY)
    …In-service staff on Insurance identification/verification and reporting. When directed, audit duties are under the direction of Compliance Program. Responsibilities ... changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare . Keeps front-end administrators up-to-date with payer changes or guidance. -… more
    BronxCare Health System (06/21/25)
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  • East Williamsburg Men's Shelter - Clinical…

    Project Renewal, Inc. (Brooklyn, NY)
    …Update weekly caseload breakdowns and assign new clients to Case Managers. + Audit client charts weekly to ensure adherence to regulatory standards of service ... services. + Advises clients of entitlement possibilities and refers them for Medicaid/ Medicare , Public Assistance, & Food Stamps as needed. + Ensures that all… more
    Project Renewal, Inc. (06/03/25)
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