- Northwell Health (Lake Success, NY)
- …obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and ... of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. Generates queries and have follow up… more
- Trinity Health (Syracuse, NY)
- …opportunity. Works closely with Providers to educate on improved documentation to support coding. As a mission-driven innovative health organization, we will become ... ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance...the phone, with people in all locations on product support issues. Manual dexterity is needed to operate a… more
- Trinity Health (Syracuse, NY)
- …Works closely with Providers to educate on improved documentation to support coding.As a mission-driven innovative health organization, we will become the ... ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance...the phone, with people in all locations on product support issues. Manual dexterity is needed to operate a… more
- Arnot Health (Elmira, NY)
- …9. Completes various government and employee requested forms such as medical support notices, Medicare verifications, and DSS requests. 10. Responsible for ... stakeholders on leave statuses as necessary. 13. Manages vendor relationships in support of employee benefit and retirement plans and programs. 14. Preserves… more
- BronxCare Health System (Bronx, NY)
- …implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent ... changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare . Keeps front-end administrators up-to-date with payer changes or guidance. -… more
- Humana (Albany, NY)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO's MSSP participation… 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...service that connects employees with local service providers and support services to address their personal needs. * Life… more
- New York State Civil Service (West Seneca, NY)
- …(LCAT) in New York State; certification as a Therapeutic Recreation Specialist (CTRS) by the National Council for Therapeutic Recreation Certification (NCTRC); ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...unique attributes and skills are valued and utilized to support the mission of the Agency. OMH is an… 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
- New York State Civil Service (Middletown, NY)
- …Chief Physical Therapist, Chief Recreation Therapist, Developmental Disabilities Program Specialist 1, Developmental Disabilities Program Specialist 1 (Spanish ... Language), Developmental Disabilities Program Specialist 2, Developmental Specialist 4, Head Occupational Therapist, Head Physical Therapist, Head Recreation… more