- 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
- Charles Evans Center (Bethpage, NY)
- …front desk supervisor on billing issues + Monitor provider credentialing with Medicaid, Medicare , and commercial plans + Assist with review and negotiation of ... + Resolve claim denials and outstanding A/R to support timely collections + Review and update billing policies and procedures for efficiency and compliance + Ensure… 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
- Arnot Health (Bath, NY)
- …of the Long Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time ... of resident care. e. Assists the DON with implementing appropriate review systems for competency-based appraisals of staff. f. Participates in Nursing/Medical… 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
- Staffing Solutions Organization (Albany, NY)
- …follow-up questions, and requests for additional documentation. + Building review protocols, establishing written procedures, designing standardized review ... worksheets, and developing training components specific to each new internal review project assigned to the bureau. Reviewing completed worksheets by initial and… more
- City of New York (New York, NY)
- …weekly and monthly reports on Aging Connect call data, special initiatives, and Medicare related metrics. Analyze data to identify ways to improve unit performance. ... issued through Program Instructions are implemented. - Track and review program monthly, mid-year and end of year reports...opportunities to work with older adults. - Track and review volunteer program monthly, mid-year and end of year… more
- WMCHealth (Valhalla, NY)
- …pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze and maintain WMCHealth ... Network Hospitals CDM's to maximize revenue. + Performs periodic review of codes and works with patient billing regarding bundling and unbundling services as… more
- Robert Half Finance & Accounting (Syracuse, NY)
- …to ensure accurate and timely reporting. Responsibilities: * Prepare and review monthly, quarterly, and annual financial statements to ensure accuracy and ... provide insights to department leaders. * Manage regulatory filings, including Medicare cost reports and state-specific financial disclosures, with precision. *… more
- Molina Healthcare (Syracuse, NY)
- …HCS Department staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and direction of ... timely completion. + Actively participates in the Department auditing program to review and communicate findings with staff and identify opportunities for improved… more