- Northwell Health (Lake Success, NY)
- …of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. Generates queries and have follow up ... discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical… more
- Rochester Regional Health (Rochester, NY)
- …documentation strategies (upon completion of training) + Understand and communicate differences between Medicare Part A and Part B guidelines and how they impact DRG ... assignments (upon completion of training) + Knowledge of Core Measure and Patient Safety Indicators (upon completion of training) EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally… more
- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy and ... completeness of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims. + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in… more
- Molina Healthcare (Queens, NY)
- …(EOE) M/F/D/V. Key Words: health care, insurance, health insurance, Medicaid, Medicare , health coach, community health advisor, family advocate, health educator, ... liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, housing counselor, human service worker, Navigator,… more
- BronxCare Health System (Bronx, NY)
- …changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare . Keeps front-end administrators up-to-date with payer changes or guidance. - ... Maintains and reconciles daily therapy services. - Assists clinics in account updating and information reporting. - Performs in-service as needed for insurance identification and reporting. Coaching and performance reviews for various clinic locations. -… more
- New York State Civil Service (East Syracuse, NY)
- …care.* As Psychiatrist 1, you will serve as a practicing specialist under the direction of a higher-level Psychiatrist or Physician. ... are responsible for payment of all required fees.Medicaid and Medicare : In order to be eligible for appointment and...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- Northwell Health (Garden City, NY)
- …Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS Specialist -Clinical. Remote position Job ... and principals; performs coding audits for optimization. 4.Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained… more
- Northwell Health (Westbury, NY)
- …- BSN or MSN candidates with a HCS-D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS Specialist -Clinical. Conducts Home Health Resource ... the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained in… more
- New York State Civil Service (Orangeburg, NY)
- …chemical dependency; or* Current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation ... 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)
- …chemical dependency; or* Current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation ... 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