- Trinity Health (Albany, NY)
- …and administrative skills. Broad-based knowledge of hospital related regulatory compliance requirements. Presentation skills, team player, ability to influence ... Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management **OPERATIONS/ COMPLIANCE :** Is responsible for data management, investigation & reporting.… more
- Catholic Health Services (West Islip, NY)
- …multidisciplinary staff; collects clinical data; assists with quality activities in compliance with regulations and organizational goals. Create strategies for ... compliance with New York State Department of Health, Joint...State Department of Health, Joint Commission, and Centers for Medicare and Medicaid Services requirements Data abstraction and presentation… more
- WMCHealth (Suffern, NY)
- …with preparation of federal, state, and other regulatory reports, ensuring compliance with established guidelines. * Keeps informed of governmental regulations and ... Researches and resolves problems pertaining to financial reporting systems, ensuring compliance with procedures and policies relating to patient billing and… more
- Mohawk Valley Health System (Utica, NY)
- …The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals objectives, and quality patient care while ... clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more
- 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 ... and submit Minimum Data Set (MDS) assessments + Ensure compliance with Federal, State, and facility policies + Actively...+ Uphold Elderwood's Mission, Vision, and Values + Maintain compliance with company code of conduct, HIPAA, and regulatory… more
- Mount Sinai Health System (New York, NY)
- …is an affordability crisis as federal and state governments are unable to keep Medicare & Medicaid solvent, employers are stretched to pay for health benefits for ... support during NYCDOH, NYS, and TJC inspections, and also assist in ensuring compliance with New York City Department of Health. Such support includes monitoring… more
- Glens Falls Hospital (Glens Falls, NY)
- …This is an exciting opportunity that can further develop your skills in compliance , customer service, medical billing, and finance in healthcare. If you are an ... Potential* *Responsibilities* * Corrects pre-billing edits and ensures outbound claim compliance Follow-up on A/R in accordance with pre-established goals/ proper… more
- BronxCare Health System (Bronx, NY)
- …reporting. When directed, audit duties are under the direction of Compliance Program. Responsibilities - Establish and maintain positive relationships with patients, ... Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and… more
- Heritage Ministries (Greenhurst, NY)
- …facility and company-wide policies and assuring these regulations are in compliance with applicable county, state, and federal legislation. The administrator will ... the philosophy of care upheld by Heritage Ministries and assure their compliance through continuous and annual performance evaluations. + Participate in recruitment… more
- Evolent (Albany, NY)
- …+ Offer **clinical rationale for standard and expedited appeals,** ensuring compliance with UM policies and regulatory requirements. + Collaborate with ... or disciplinary actions by **state or federal healthcare programs ( Medicare , Medicaid, OIG, or GSA).** Join us at **Evolent...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more