- Mount Sinai Health System (New York, NY)
- …auditing experience preferred. * Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. * Good working knowledge of electronic health records, ... guidelines. Validates the accuracy and appropriateness of the DRG assignments flagged pre- billing . Determines if a secondary review is required to verify assignment… more
- Mount Sinai Health System (New York, NY)
- …claims and collection. Maintains open dialogue with the Department Administrator or Manager on billing activity and current concerns. **Qualifications** + ... information on new procedures and devices. + Trains and mentors less experienced billing staff. Assists area Manager in staff training initiatives. + Maintains… more
- Masonicare (Wallingford, CT)
- RN Manager Clinical Reimbursement Job...with Medicare denial claims/reviews when need is identified by billing office. + Keeps abreast of changes in the ... Location: Wallingford Center, Connecticut RN Manager Clinical Reimbursement Masonicare Health Center - Wallingford, CT Day Shift / 40hrs/wk The Manager … more
- Elevance Health (Wallingford, CT)
- …clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and ... **Diagnosis Related Group Clinical Validation Auditor** **Location:** This position will work...payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working… more
- Nuvance Health (Danbury, CT)
- …*$4,500- Sign-On Bonus for Full-time externals only, pro-rated for Part-time * Clinical RN Coordinator- Oncology/Hematology- Danbury, CT Full time 36 hours per ... week 4 days a week 8:00am-6:00pm.* Summary: The Clinical RN Coordinator-Oncology/Hematology coordinate's the clinical and...activities as designated by Chief of Oncology or Nurse Manager . 8. Conducts and ensures patients are enrolled in… more
- Hartford HealthCare (Watertown, CT)
- …Program for all graduate RNs with less than one year of experience. * Tuition Reimbursement up to $5,250.00 after six months of employment and up to 40% tuition ... coordinating all telephone calls and maintaining sufficient office supplies. The Office Manager is responsible to the Executive Director and and assists with: direct… more
- Northwell Health (Lake Success, NY)
- …payers for new and existing physicians; confirms appropriate profiling within IDX billing the health system; performs reimbursement management; analyzes payer ... Number** 120796 Job Description Manages the revenue cycle operations of the clinical department by providing expertise in front-end best practice operations and… more
- ZOLL Medical Corporation (Mineola, NY)
- …ordering and billing requirements.Essential Functions + Provide customers with relevant clinical data that supports the risk of Sudden Cardiac Death in certain ... intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times… more
- Northwell Health (New York, NY)
- …revenues; coordinates physician schedules pertaining to division services; keeps abreast of all billing , coding and reimbursement related issues as they apply to ... responsibility in supporting research initiatives; manages daily operations and all non- clinical personnel in the division and all related areas; hires, trains,… more
- Planned Parenthood of Greater New York (Bronx, NY)
- …nonjudgmental abortion services. When you join PPGNY as a Health Center Manager you will assume responsibility for managing all aspects of the financial ... and clinical operations of the Health Center(s), in collaboration with...Routinely reviews and analyzes reports of service visits, budgets, billing , entitlement program enrollments, finances and other performance measurements… more
- Nuvance Health (Poughkeepsie, NY)
- …/PBM Operations Criteria B: Oversees departmental charging procedures to insure accurate billing and reimbursement Budgeting /PBM Operations Criteria C: Tracks ... aspects of the Ambulatory Care Pharmacy Services. Is the manager of record for the Reade Place location. Helps...develops and implements strategic plan. Stabilizes and expands the clinical growth of the department. Works in conjunction with… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy ... and responds to complex questions from third party payers and clinical staff regarding medication-related issues and reimbursement . 15.Adjudicates approved… more
- The Home for Little Wanderers (New York, NY)
- …of age-relevant program activities and direct services, outreach, and paperwork for billing and clinical purposes. The School-Based Clinician, based in the ... certified. The School-Based Clinician will report to the Site Manager and Clinical Program Manager ....school-based services. + Timely completion of required documentation for clinical and billing purposes (EMR Dr. Cloud).… more
- BronxCare Health System (Bronx, NY)
- Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and ICD 10-PCS codes for billing , ... using ICD-10 Official Guidelines for Coding. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist… more
- Mount Sinai Health System (New York, NY)
- …contract compliance activities with the goal of optimizing and improving managed care reimbursement through efficient clinical delivery and aligned clinical ... accurate, specific diagnosis codes for each patient by completing appropriate billing / reimbursement documentation + Utilize infection control and safety… more
- BronxCare Health System (Bronx, NY)
- Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing , ... for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when...When necessary had to forward error cases to the manager , correct the patient disposition upon patient's discharge. -… more
- WMCHealth (Poughkeepsie, NY)
- … authorities. + Accurately completes and submits required non- clinical documentation, including billing , scheduling, coverage/hand-off information, ... regular intervals over the course of treatment. + Prioritizes and completes clinical assessments of patients across service areas. Develops proposals for new… more
- WMCHealth (West Nyack, NY)
- …intermediaries and forwards requested documentation to outpatient billing . + Assists manager in review and development of clinical policies. + Participates ... identified needs. Assumes overall responsibility for staff orientation, student clinical rotations, and assumes EMR super user responsibilities. Responsibilities: +… more
- Mount Sinai Health System (New York, NY)
- …pre-clearance, ensuring a high degree of patient satisfaction and maximum reimbursement to the institution. Responsibilities include but are not limited to: ... patient has paid, or collects, the appropriate co-pay under the direction of billing management, and provides the patient with a receipt as per cash-control… more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical , contracting, finance, IT, analytics, operations, and product development expertise. ... * Firm understanding of Facility, Professional and Pharmacy claim reimbursement preferred. * Oral presentation experience, especially with senior management,… more