- WMCHealth (Warwick, NY)
- …other providers, regulatory agencies, billing agencies, and auditing agencies including Medicare , Medicaid, and third-party billers. + Scans, uploads, and files ... off-site records. + Performs other duties as assigned. Admissions + Completes review and assessments of admission referral documents and coordinates the patient… more
- Intermountain Health (Albany, NY)
- **Job Description:** Provides assistance to the Reimbursement Manager to control or review the following areas for government and third party payers for assigned ... appropriately recorded, reviewed, and reconciled. Reviews or prepares monthly Medicare and Medicaid contractual allowance calculations using technically acceptable… more
- Northwell Health (Garden City, NY)
- …Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare /non- Medicare charts for ... clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding… more
- Molina Healthcare (Rochester, NY)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... with a consistent focus on promoting the quality, accuracy, and efficiency of review services. + Serve as a resource and subject matter expert to colleagues… more
- New York State Civil Service (Orangeburg, NY)
- …looking to hire a Registered Nurse 1, Psychiatric, to serve as a Utilization Review Coordinator (URC). Candidates from outside or within State Service can apply. The ... Proficiency in Microsoft Excel is preferred. URCs at RCPC review electronic and paper clinical medical records for inpatient...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- Stony Brook University (Stony Brook, NY)
- …Assistant** **may include the following but are not limited to:** + Billing for Medicare (Part A & B), Medicaid, Private, Insurance, NAMI, Physician, and Adult Day ... the Attorney General's office. + Monitor all Medicaid remittances, review any case denied, and rebill if necessary or...system and monthly closing functions. + Enroll residents in Medicare Part D plans. + Oversee all banking for… more
- Bassett Healthcare (Cooperstown, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based ... from providers or other staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor. Reviews the electronic… more
- New York State Civil Service (Syracuse, NY)
- …or family therapy; crisis intervention, consultation to other agencies; training and peer review .In addition to the above duties, you may also perform the following ... or release to strict and intensive community supervision and treatment; develop, review , and oversee behavior management plans and/or treatment plans; and develop… more
- New York State Civil Service (Brooklyn, NY)
- …would be responsible for the provision of pharmaceutical care, including the review , dispensing and monitoring of inpatient and outpatient medications. You would ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
- New York State Civil Service (Syracuse, NY)
- …and refer individuals for admission, transfer, discharge, and further treatment* Review and maintain medical records and documentation consistent with facility, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more