- 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
- 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
- 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 (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
- 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
- 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
- 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 (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
- WMCHealth (Valhalla, NY)
- …and coding principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and quality improvement practice ... Job Details: Job Summary: The Clinical Documentation Improvement Lead Specialist demonstrates excellent problem-solving, clinical knowledge, and coding knowledge… 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
- New York State Civil Service (Orangeburg, NY)
- …area, such as program evaluation, clinical risk management, standards compliance, survey readiness, utilization review , or a closely related area; or 2. Three ... assigned to the Quality Management Program - program evaluation, risk management, utilization review , health information management, and staff development. *… more