- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... and serve as a leader of positive change. The **Clinical Documentation Specialist ** facilitates improvement in the overall quality, completeness and accuracy of… more
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... Network CDI Physician Champion Company: NorthEast Provider Solutions Inc. City/State:...processes. The Physican Champion will provide clinically based concurrent review of patient medical records to ensure documentation accurately… more
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... Clin. Documentation Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...link Job Details: Job Summary: Provides clinically based concurrent review of patient medical records to ensure documentation accurately… more
- 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 (New York, NY)
- Academic Student Support Specialist **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of Harlem, New York, is the only medical school ... offers an accelerated BS/MD degree (7-year program) and a Physician Assistant Master's Degree (27 months program). True to...Student Affairs is currently seeking a Academic Student Support Specialist . This position will play a primary role in… more
- 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
- Nuvance Health (Norwalk, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure ... coming in from other hospitals. Responsibilities: 1. Manages the Utilization Review elements of the ED encounter...evidence based screening criteria. 3. Refers cases appropriately to Physician Advisor review . 4. Collaborates with SW… more
- WMCHealth (Valhalla, NY)
- …experience in a hospital setting, preferably cardiology, radiology, surgery or utilization review , required. Previous revenue integrity experience, Excel and ... payors. + Develop, Implement and coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + Recommend sound… more
- WMCHealth (Valhalla, NY)
- …to the the coding leadership team. + Participates in mandated medical record review processes. + Using current ICD10 CM/PCS coding systems, assigns and records an ... to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient's medical record. + Queries physicians for… more