- Mobile Health (Queens, NY)
- …Range $35.00-$40.00/hr Overview Mobile Health is seeking a detail-oriented and experienced Clinical Coder to ensure the accurate, compliant, and efficient coding ... overall quality and compliance of our documentation practices. The Clinical Coder will collaborate with the ...critical results as needed. Experience & Education . Licensed RN or Higher . 2+ years in Occupational Health… more
- Molina Healthcare (Syracuse, NY)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical /medical ... Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- Independent Health (Buffalo, NY)
- …regulatory standards, clinical criteria, and member benefit contract. **Qualifications** + Registered Nurse ( RN ) with active, current, unrestricted NYS ... and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical Reviewer will be responsible for the collection and review of medical… more
- Independent Health (Buffalo, NY)
- …Minimum of one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), ... Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H,… more
- CVS Health (Albany, NY)
- …travel up to 10%, (dependent on business needs). Preferred Qualifications: + Active Registered Nurse ( RN ) Licensure preferred + Experience conducting audits ... allocation and prioritization. + Quality Control and Compliance: Maintains oversight of coder / nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS… more
- WMCHealth (Valhalla, NY)
- …are captured & appealed in a timely manner. Coordinating appeal discussions with clinical & third party payors. + Develop, Implement and coordinate billing practices ... departments. + Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze… more
- Northwell Health (Staten Island, NY)
- …+ Current certification in Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator (RHIA) OR ... needs and efficiently carries out instructions by the surgeon, anesthesiologist and circulating nurse . 3. Assists the circulating nurse in the assembly and… more
- Healthfirst (NY)
- … and Claims staffing models and skillsets, a plus + Preferably active RN license and/or Certified Professional Coder Compliance & Regulatory Responsibilities: NA ... ML predictive modeling, no-code and low-code automation technologies, and other clinical and business process automation solutions + Experience working in a… more