- 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 ... supply chain processes, hospital and/or Medical Group practice operations.Licensure / Certification : RHIA, RHIT, CCS, CPC/COC or other coding credentials is… 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. ... program in psychiatry approved bythe ABPN.ADDITIONAL REQUIREMENTS FOR APPOINTMENT:License and Certification : Loss of license or limited permit to practice medicine… more
- New York State Civil Service (West Seneca, NY)
- …registration as a Licensed Creative Arts Therapist (LCAT) in New York State; certification as a Therapeutic Recreation Specialist (CTRS) by the National Council ... for Therapeutic Recreation Certification (NCTRC); registration as an Art Therapist with the...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- University of Rochester (Rochester, NY)
- …in the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report - - Claim Edits - ... and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer audits. -… more
- SUNY Upstate Medical University (Syracuse, NY)
- …professionals and medical facilities + Communicate with collaborating physician or specialist regarding patient care Provides exemplary patient care Timely and ... NP or PA required (NYS NP specialty area of certification must be consistent with practice). Must have NPI...consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or… more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Senior Resident Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident ... preferred or must be willing to obtain Medical Billing certification within one year of employment + Must maintain...and revenue collections + New York State Medicaid and Medicare rules and regulations + Basic methods and procedures… more
- Molina Healthcare (Yonkers, NY)
- …of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification . + Project Management Experience + Familiarity ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- Centene Corporation (Queens, NY)
- …Teams and / or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for to confirm accuracy and ... (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance...will spend time in the field while reviewing Intake Specialist work and will actively coach and develop staff… more
- Northwell Health (Lake Success, NY)
- …online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference ... as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make...One or more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified… more
- Evolent (Albany, NY)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... state licensure required per business needs + Active Board Certification in Interventional Cardiology **or** may be substituted for...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more