- Guthrie (Corning, NY)
- …Infection Control Certificates, physicals and Certifications of Insurance, contact physician to obtain current copies, Prepares application for re‐appointment (3) ... months in advance of expiration of physician 's term of appointment including ethical and legal principles,...from the Staff, Maintains the permanent personnel and peer review files for all members of the Medical Staff… more
- Albany Medical Center (Albany, NY)
- …$38,937.60 - $50,618.88 This position is a Medical billing position for a Physician Practice. Providing efficient and timely follow up of delinquent and denied ... Albany Med by completing appeals, phone calls, and account review . This position is a Medical billing position for...This position is a Medical billing position for a Physician Practice. Providing efficient and timely follow up of… more
- Centene Corporation (New York, NY)
- …cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality assurance, and ... + Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. + Conduct regular… more
- Stony Brook University (Stony Brook, NY)
- …treatments to patients according to the specific orders of the responsible physician . + Provides documented evidence in the medical record of patient/family teaching ... education and instructions are consistent with that of the physician or designee. + Assumes preceptor role in orientation...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Stony Brook University (Stony Brook, NY)
- …+ Enter death certificate data electronically or on paper and ensure timely physician certification. + Support completion of MRN and encounter combines and building ... physician using the HNA Combine Tool. + Complete patient...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- WMCHealth (Kingston, NY)
- …the coding staff and the analysis staff as needed. RESPONSIBILITIES + Review and evaluate each medical record for appropriate assignment of ICD-10-CM diagnosis ... code(s). Accurately identifies principle diagnosis and all secondary diagnosis. + Review and evaluate each medical record for appropriate assignment of ICD-10-PCS… more
- Veterans Affairs, Veterans Health Administration (Northport, NY)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... and findings to the registered nurse and if appropriate, to the physician . Utilizes therapeutic communication with Veterans, families and other members of the… more
- Northwell Health (Melville, NY)
- …and knowledge gaps. Job Responsibility Serves as liaison between the patient and facility/ physician and the third party payer. Prepares and defends level of care and ... medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care… 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
- Elevance Health (New York, NY)
- …Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/Utilization** ** Review ** **Virtual:** This role enables associates to work ... case reviews for their board certified specialty. + Makes physician to physician calls to gather medical...decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review… more