- WMCHealth (Valhalla, NY)
- …payors. + Develop, Implement and coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + Recommend sound ... claim edits involving any type of clinical or coding review or required modifier based on services rendered. +...technical guidance in UB-92 Editor, CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote… more
- New York State Civil Service (NY)
- …as a member of an interdisciplinary treatment team and attend meetings for case review ; * Participate in and lead individual, family and group counseling sessions; * ... and maintain a wide variety of records. * Peer review . LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all #LI-JL2 Minimum Qualifications Minimum Qualifications for… more
- Mohawk Valley Health System (Utica, NY)
- …to ensure accurate code assignment and provide feedback for improvement. + Review coding practices against payer-specific rules and regulations to ensure compliance. ... experience as a medical coder, with at least 1 year in a coding review or educator role. + In-depth knowledge of compliance standards, including HIPAA, HITECH, and… more
- 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 ... clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of… more
- Fresenius Medical Center (Kew Gardens, NY)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
- UHS (Binghamton, NY)
- …and documentation compliance in accordance with all coding guidelines and Medicare /Medicaid regulations. Assist with coding, documentation, and billing questions to ... mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can… more
- Novo Nordisk (Poughkeepsie, NY)
- …Relationships Externally, the DCS I maintain relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and ... impact . Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- New York State Civil Service (Staten Island, NY)
- …occasional work decisions. Supervisors provide little immediate guidance and primarily review work to evaluate overall results. Projects may result in professional ... and Community Mental Health Nurses as needed.* Assist with physician coverage as needed in sister regions.LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all#LI-DA1 Minimum… more
- Fresenius Medical Center (Camillus, NY)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
- VNS Health (Manhattan, NY)
- …oversight to ensure that care plans and services align with patient needs and physician orders. * Serves as a liaison between field staff (nurses, therapists) and ... needs and provider schedules. * Tracks and ensure compliance with Medicare , Medicaid, and insurance guidelines and regulations regarding home health services.… more
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