• Utilization Review Admission…

    Mount Sinai Health System (New York, NY)
    …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... **Job Description** ** Utilization Review Admission Specialist ...and operating roaom time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according… more
    Mount Sinai Health System (09/04/24)
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  • Compliance Resource Specialist (CPT…

    Mount Sinai Health System (New York, NY)
    …+ Analyzes Utilization Billing Report of paid services for each service/ physician and determines sample selection for review . + Performs chart abstraction ... **Job Description** The Compliance Resource Specialist (CRS) must have a broad knowledge and...state rules and regulations. + Provides group or individual provider/ physician training based on actual documentation review more
    Mount Sinai Health System (10/30/24)
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  • Finance Procurement Specialist

    CUNY (New York, NY)
    Finance Procurement Specialist **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of Harlem, New York, is the only medical school in ... 2016. The CUNY SoM offers an accelerated BS/MD degree (7-year program) and a Physician Assistant Master's Degree (27 months program). True to its legacy of access,… more
    CUNY (10/01/24)
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  • Clinical Documentation Specialist I

    Mount Sinai Health System (New York, NY)
    …reviews with physician office staff and distributes correspondence related to review . + Analyzes returned CDQI alerts for accuracy and completeness + Reviews ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the...and completeness of clinical documentation and coding in outpatient physician practices. They will work closely with physicians, Health… more
    Mount Sinai Health System (11/06/24)
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  • Specialist , Grievance and Appeals

    VNS Health (Manhattan, NY)
    …appeal resolution and execution of the plan's fiduciary responsibilities. Prepares records for physician review as needed. + Conducts review of requests ... Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations. + Collaborates with professionals,… more
    VNS Health (10/25/24)
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  • Grievance and Appeals Specialist , Clinical

    VNS Health (Manhattan, NY)
    …appeal resolution and execution of the plan's fiduciary responsibilities. Prepares records for physician review as needed. + Conducts review of requests ... Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations. + Collaborates with professionals,… more
    VNS Health (09/20/24)
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