- City of New York (New York, NY)
- … Reviewers who will: Facilitate participant intake process, including collection and review of documentation required to obtain approval in education and ... One Viewer system, including data entry and retrieval on computerized systems. - Review records processed by the unit, identifying errors, and indicating need for… more
- City of New York (New York, NY)
- …care (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized ... seeking (1) Eligibility Specialist II to function as Case Reviewer . The Case Reviewer will: - Respond...to determine eligibility for Medicaid. - Conduct a comprehensive review of applications including financial and legal documentation… more
- City of New York (New York, NY)
- … for both sustainability and resiliency; LEED compliance strategies; and certification documentation . The Sr. Design Reviewer will also be responsible for ... Department of Design & Construction, Public Buildings Division seeks a Sr. Design Reviewer to join the Sustainability Unit. The selected candidate will serve as one… more
- City of New York (New York, NY)
- …Quality Control Case Reviewer , who will: - Conduct the preliminary monthly review of MICSA and HCSP cases selected from a sample of activated, recertified, ... from the State On-Line Query (SOLQ) databases. - Ensure the accuracy of the review sample by conducting preliminary WMS inquiries and case review ; utilize… more
- City of New York (New York, NY)
- …care (NAMI-Net Available Monthly Income) if institutionalized. - Interview and/or review documentation submitted by applicants/recipients (A/R) or authorized ... representatives, to determine eligibility for Medicaid. - Conduct a comprehensive review of applications including financial and legal documentation , as well as… more
- City of New York (New York, NY)
- …third-party contacts to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control ... II to function as a Quality Control Case Reviewers, who will: - Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data… more
- VNS Health (Manhattan, NY)
- …with high volume providers for compliance with HEDIS/QARR standards. Evaluates documentation discrepancies identified during initial review and advises on ... healthcare facilities on the retrieval of medical records for review and abstraction pertaining to HEDIS/QARR and other focused...corrective actions as appropriate. Reviews and enters documentation findings into a database. + Manages and organizes… more
- Elevance Health (Woodbridge, NJ)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- City of New York (New York, NY)
- …by the New York State Office of Temporary and Disability Assistance (NYSOTDA). Review the corrective action memorandums and supporting documentation on State ... Associate III to function as a Quality Control Case Review Supervisor who will: - Supervise and provide guidance...Monitor the preparation and submission of detailed correspondence and documentation to be sent to New York State Quality… more
- Mizuho Corporate Bank (New York, NY)
- …and enhance Credit Review 's Risk Assessment process. + Draft potential review issues for discussion with relevant Reviewer -in-Charge, Credit Review ... About the Team Credit Review provides the Board and bank management with...to opine on the adequacy of facility underwriting and documentation , including, but not limited to, collateral, repayment sources,… more
- RWJBarnabas Health (Livingston, NJ)
- …+ Must be able to work fully onsite + Prior experience in clinical documentation review preferred as well as an understanding of ICD-9-CM coding requirements ... Clinical Document Specialist, Clinical Documentation ManagementReq #:0000148777 Category:Nursing Status:Full-Time Shift:Day Facility:Cooperman Barnabas Medical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the overall quality and completeness of clinical ... documentation and coding in outpatient physician practices. They will...Management and the Mount Sinai Health Partners team to review and code ambulatory medical records, identify opportunities to… more
- Nestle (Bridgewater, NJ)
- …and nutrition for patients and consumers. **POSITION SUMMARY:** As a Documentation Specialist, you'll support packaging development in the Nestle Health Science ... Collaborate with Packaging Safety and Compliance Expert for DOC review and approval as well as storage protocol +...lead training efforts for the broader team **Finished Good Documentation - FERTs** + Create all Finished Good … more
- City of New York (New York, NY)
- …where staff will be engaged include, but are not necessarily limited to, review of plans, calculations and supporting documentation for stormwater pollution ... has reduced the soil disturbance threshold of projects requiring review and approval in the MS4 areas to 20,000...supporting calculations to demonstrate compliance with the code; the reviewer must be able to read and understand documents… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Sleep Clinical Review Technician** is responsible for clinical history, signs/symptoms, diagnosis code and test ... order review . Works directly with team members and ordering clinicians...clinicians and their staff to educate and support appropriate documentation for coding, authorizations and appropriate testing. This position… more
- US Tech Solutions (Branchburg, NJ)
- …serological test results via email, Fax and tissue portal. + The Documentation Coordinator is required to verify and cross-reference applicable TRP paperwork and ... in the ERP system based on the consent, Medical Director decision and final serological review . + This is inclusive of but not limited to assessing the chart and ERP… more
- Amicus Therapeutics (Princeton, NJ)
- Promotional Materials Review Compliance (Contractor) Location Princeton, NJ Requisition ID 2299 # of openings 1 Apply Now ... (https://phh.tbe.taleo.net/phh04/ats/careers/v2/applyRequisition?org=AMICUS&cws=37&rid=1346) Contractor - Promotional Materials Review Compliance Amicus Therapeutics is a global, patient-dedicated biotechnology… more
- Molina Healthcare (New York, NY)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate ... quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review ,...and audit details in the database + Provides supporting documentation for denial and modification of payment decisions +… more
- City of New York (New York, NY)
- …are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental ... (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will: - Review , process,...decisions/packets on claim cases. - Obtain collateral information / documentation as needed. - Prepare electronic and paper eligibility… more
- Citigroup (New York, NY)
- …the prior year IRC Findings. + Conduct analysis and produce detailed technical documentation to assess whether the risk pool remediation meets the requirements of ... IRC Findings. + Focus in-depthIRC follow-up review as needed based on progress made with IRC...Corporate Equity Derivative (CED) + Develop and maintain technical documentation including project plans + Drive the collaboration with… more