- Bassett Healthcare (Cooperstown, NY)
- …and hospital protocols to make recommendations for unit placement Review traditional Medicare fee for service (FFS) using the two-midnight rule Using documentation ... IM letter; collaborates with UM Nurse as needed Assists Clinical Documentation Specialist in engaging physician to respond to queries clarifying documentation to… more
- Mohawk Valley Health System (Utica, NY)
- …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more
- Cardinal Health (Albany, NY)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email… more
- National Health Care Associates (Melville, NY)
- …+ Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of ... governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of the aged and… more
- Humana (Albany, NY)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... journey flows + Comfortable working in pod-based or agile cross-functional environments ** Preferred Qualifications** + Adobe certifications in AEP or AJO are a plus… more
- Somatus (Brooklyn, NY)
- …on a monthly basis Qualifications _Required_ + Experience working with Medicare , Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical ... Nurse, Engagement Specialist or Community Health Worker Experience. + Ability to connect with people and understand the challenges they face. + Ability to use a… more
- Highmark Health (Albany, NY)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more
- Mohawk Valley Health System (Utica, NY)
- …education (eg, Hospital Incident Command System). + Serve as the facility specialist on alert and notification systems and procedures. + Coordinate the use ... Protection Agency (EPA), National Fire Protection Association (NFPA), Centers for Medicare & Medicaid Services (CMS), and Department of Homeland Security (DHS)… more