- Ellis Medicine (Schenectady, NY)
- …deposit slips. + Review Billing Exception Report for Revenue Management, the Medicare system (FISS), and the claims scrubber (SSI) daily for data entry errors ... system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. EDUCATION… more
- Rochester Regional Health (Rochester, NY)
- …of the Medical Management Department to maintain daily operations. Oversees the daily review process of the third party payors ensuring information is tracked and ... maintained. Creates departmental reports for senior management. RESPONSIBILITIES + Oversees the review process of third party payors with oversight from the Director… more
- Northwell Health (Staten Island, NY)
- …* Performs concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of stay. + ... companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to… more
- New York State Civil Service (Schenectady, NY)
- …community problems and social issues.* Participates in complex assessments and or review clinical documentation as part secondary review to confirm both ... for individuals in receipts of services in state operated programs.* Collects, review , analyze and present data/metrics tied to clinical and/or performance measures… more
- New York State Civil Service (Syracuse, NY)
- …as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group counseling sessions; * ... and maintain a wide variety of records. * Peer review . LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-JB3 Minimum Qualifications Minimum Qualifications for… more
- Datavant (Albany, NY)
- …vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... + Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare , commercial, and Medicaid sectors. + In-depth knowledge of medical terminology,… more
- Catholic Health Services (Smithtown, NY)
- …college level is highly desirable. Skills, Knowledge or Abilities: Knowledge of Medicare , Medicaid and insurance required. Must have troubleshooting skills and the ... required. Three to five years' experience required. DUTIES/RESPONSIBILITIES: Performs monthly review of designated payer accounts Processing of mail/EOB's for the… more
- Trinity Health (Syracuse, NY)
- …data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State ... payer regulations.Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial reviewResponsible for proofing daily charges for… more
- Catholic Health Services (Roslyn, NY)
- …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores Job Details All ... ensure high levels of patient satisfaction. Discharge planning education including review of discharge instructions and medication prescribing in compliance with… more
- City of New York (New York, NY)
- …Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs including ... need and in accordance to NYS civil service law. - Evaluate and review new hire recommendations, salary adjustments and promotions through analysis of justification… more