- VNS Health (Manhattan, NY)
- …Organizations.Collaborates with professionals, health plan departments such as Claims and Medical Management , and the third party administrator staff and legal, ... appeals or related area such as medical or utilization management requiredProficient verbal/written communication skills requiredProficient computer and typing… more
- City of New York (New York, NY)
- …decedents, as well as case check-in /case check-out, and problems or issues with CMS ; works with funeral directors to facilitate release of decedents to their care; ... works with the Tour Commander to coordinate death scene investigations and recovery of decedents. - Oversees the work of mortuary and transportation staff, motor vehicle operators, and auxiliary staff; holds staff meetings as needed to discuss mortuary issues… more
- VNS Health (Manhattan, NY)
- …data reports and analysis of grievance and appeals for program management and committees, as needed. Works under general direction. Compensation Range:$109,900.00 ... Responsible for direct oversight and the day to day management of clinical appeals review processes within Appeals &...regulatory processes and timeframes. Maintains readiness for DOH or CMS audit at all times. + Ensures regulatory compliance… more
- AristaCare (Linden, NJ)
- …local standards, guidelines, and regulations, and as may be directed by DOR, Administrator , or Regional support team to assure the highest degree of quality resident ... + To complete compliant and medically necessary documentation from CMS expectations in NetHealth EMR systems Education & Requirements:...and regulations, and as may be directed by DOR, Administrator , or Regional support team to assure the highest… more
- Hackensack Meridian Health (Hackensack, NJ)
- …enters coded/abstracted information for DRG assignment into the HMH designated computer system . + Review Case Management notes and assign discharge disposition ... mandated coding systems in accordance with Centers for Medicare and Medicaid Services ( CMS ) and other coding compliance regulations. **This is a 100% remote position… more
- Hackensack Meridian Health (Edison, NJ)
- …and accurate code assignments in accordance with Center of Medicare and Medicaid ( CMS ) guidelines and provide ongoing feedback and analysis of the education needs ... reimbursement reporting requirements, new technology, and procedures in accordance with the CMS and Office of Inspector General (OIG) regulations. + Bring identified… more
- The Mount Sinai Health System (New York, NY)
- …Modification (ICD-9-CM American Medical Association Current Procedural Terminology (CPT-4) Coding system ; and Healthcare Common Procedure Coding System (HCPCS) ... address and refute the coding determination made by the CMS contractor. 3. Drafts appeal letters, including the coding...support our client's coding decision. 4. Provides feedback to management regarding trends or patterns noticed in client coding… more
- St. Joseph's Health (Paterson, NJ)
- …required. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) by the American Health Information Management ... Save This Job Job Saved Overview St. Joseph's Healthcare System is recognized for the expertise and compassion of...that medical record documentation is compliant with current policies, CMS , DNV, the Department of Health, and Medical Staff… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Skills and Abilities Required:** + 4-year bachelor's degree in Business Management , Healthcare Administration or related law/health field or equivalent. + Computer ... **Education, Knowledge, Skills and Abilities Preferred:** + Master's degree in Business Management or related law/health field. + 3-5 years in a healthcare… more
- Hackensack Meridian Health (Hackensack, NJ)
- …billing regulations, this includes compliance with the Conditions of Participation for CMS . The DRG auditor is responsible for ensuring coding accuracy, coding ... Quality Liaison to assist in reviewing quality initiatives directed at system -wide quality indicators (ie Mortality, Patient Safety Indicators [PSI], Hospital… more
- Hackensack Meridian Health (Hackensack, NJ)
- …(CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid ... Services ( CMS ) directives across the Hackensack Meridian Health (HMH) network....required abstracted patient information into the electronic medical record system . Queries physicians when appropriate. **This is a remote… more
- VNS Health (Manhattan, NY)
- …+ Collaborates with professionals, health plan departments such as Claims and Medical Management , and the third party administrator staff and legal, as ... and appeals or related area such as medical or utilization management required + Proficient verbal/written communication skills required + Proficient computer… more
- Prime Healthcare (Boonton Township, NJ)
- …seeking new members to join its award-winning team! Saint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, ... Registered Nurse who assumes 24 hour administrative responsibility for the management of designated Behavioral Health Program functions. Supervises, assesses, plans,… more
- AristaCare (Linden, NJ)
- …local standards, guidelines, and regulations, and as may be directed by DOR, Administrator , or Regional support team to assure the highest degree of quality resident ... team members. + To complete compliant and medically necessary documentation from CMS expectations in NetHealth EMR systems Education & Requirements: + Minimum of… more
- Hackensack Meridian Health (Edison, NJ)
- …projects. + Serves as a high-level resource for NIDLRR, NIH, FDA, OHRP, CMS and/or any other pertinent regulations pertaining to human subjects research. + Plans ... of Clinical Research Associates Certification or Certified Clinical Research Administrator or Certified Clinical Research Professional. **Licenses and Certifications… more
