- City of New York (New York, NY)
- Job Description We are seeking an experienced tax attorney to become an Administrative Law Judge in the Administrative Law Judge Division of the ... New York City Tax Appeals Tribunal. The Administrative Law Judge will conduct hearings and render written determinations in response to Petitions filed by… more
- City of New York (New York, NY)
- …Agency, presents evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and ... present evidence manually or electronically, cross examines Appellants and provide the State Administrative Law Judge ( ALJ ) with a complete and relevant… more
- City of New York (New York, NY)
- …Agency, presents evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and ... with presentation of the Agency's case actions before the New York State Administrative Law Judges ( ALJ 's) - Analyze fair hearing data, audits and other… more
- City of New York (New York, NY)
- …Agency, presents evidence manually or electronically, cross examines Appellants and provides the State Administrative Law Judge ( ALJ ) with a complete and ... SERVICE TITLE. The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the… more
- Sanford Health (Sioux Falls, SD)
- …workflows and regulatory compliance. Oversee processes related to Independent Review Entities (IREs), Administrative Law Judge ( ALJ ) hearings, and ... **Qualifications** Bachelor's degree in Health Administration, Public Policy, Business, Law , or a related field required. Master's degree preferred. Minimum… more
- St. Luke's University Health Network (Allentown, PA)
- …care team working independently and collaboratively to resolve such issues. + Participate in Administrative Law Judge ( ALJ ) hearings and/or formal ... meetings with auditor or payor representatives in defense of coding appeals, as needed. + Maintain necessary audit/appeal activity documents including Excel spreadsheets, EPIC Payor Audit Management tool, Word Documents, Outlook email/calendar, and other… more
- Mohawk Valley Health System (Utica, NY)
- …throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge ( ALJ ) testimonies. Act as a liaison ... with payers to facilitate approvals and prevent denials or carved out days when appropriate. Provide telephonic and written appeals as requested for commercial payors. + Perform reviews and appeals. (Peer-to-peer, retrospective/closed record review, concurrent… more
- St. Luke's University Health Network (Allentown, PA)
- …care team and work independently to resolve such issues. + Participate as needed in Administrative Law Judge ( ALJ ) hearings. + Spends approximately 20% ... of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines. Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment. + Performs data entry of… more