• Physician Utilization Review

    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
    Hackensack Meridian Health (11/18/24)
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  • 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 (12/04/24)
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  • Clinical Documentation Specialist

    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
    Hackensack Meridian Health (12/13/24)
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  • Network CDI Physician Champion

    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 (12/13/24)
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  • Clin. Documentation Specialist

    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
    WMCHealth (12/17/24)
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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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  • Academic Student Support Specialist

    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
    CUNY (11/26/24)
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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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  • Psychologist 2

    New York State Civil Service (Thiells, NY)
    …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... Family Care Providers are trained on the plans.* Present behavior plans to review committees such as the Human Rights Committee (HRC) and Informed Consent Committees… more
    New York State Civil Service (10/04/24)
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  • Sr. Revenue Integrity Analyst- On-site position

    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 (12/13/24)
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  • Senior Inpatient Coder

    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
    WMCHealth (12/13/24)
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