- Bassett Healthcare (Cooperstown, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based ... other staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....or films related to appointment are available for the physician at the time of the appointment using available… more
- Surgery Care Affiliates (New York, NY)
- …Coverage guidelines in contacting patient's prior to the date of service to review , Physician Ownership, Advance Directives and Patient Rights. Authorization: + ... for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a… more
- Humana (Albany, NY)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Northwell Health (Staten Island, NY)
- …157117 Job Description Serves as liaison between the patient and facility/ physician . Ensures a continuum of quality patient care throughout hospitalization and ... of Social Work Services and makes referrals when appropriate. + Confers with physician regarding referrals for Physical Therapy, nutrition, speech and swallow. + *… more
- Weill Cornell Medical College (New York, NY)
- …to ensure claims are being coded appropriately. + Performs coding and documentation review prior to charge entry for physician services. Reviews medical record ... charge entry and provides information and direction to the physician relevant to coding. Acts as the CPRC expert...Ensures reviews are conducted in accordance with Centers for Medicare and Medicaid Services (CMS), and other third party… more
- Evolent (Albany, NY)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Albany, NY)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Guthrie (Binghamton, NY)
- …populations through nursing-patient collaboration and patient education. This nurse performs the Medicare Annual Wellness Visit under the direct supervision of a ... physician ( physician on site) for beneficiaries to...in nursing practice. + Preferred experience with care management/utilization review , and payer knowledge. + RN considered. Education: +… more
- Trinity Health (Syracuse, NY)
- …in surgical or specialty coding practice. Reviews chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to ... data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State… more
- Trinity Health (Albany, NY)
- …surgical or specialty coding practice. + Reviews chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to ... data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State… more