Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

Senior Medical Payments and Fee Schedule Analyst Job Ref 104157 Category Professional Department CLAIMS Location 50 Water Street, 7th Floor, New York, NY 10004 Job Type Regular Employment Type Full Time Hire In Rate $75,000.00 Salary Range $75,000.00 $84,091.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care

The Inpatient/Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for physician documentation, clinical evidence that supports the d

The SBC M&E Advisor provides technical guidance on M&E of a large multi country project across multiple focal areas, including maternal newborn and child health (MNCH), nutrition, malaria, HIV, emerging infectious diseases, gender, capacity strengthening, scaling, etc. Provides final authorization and approval of the technical portions of research protocols and project de

Advanced subject matter expert in Gender, Youth, and Social Inclusion, as well as gender, capacity strengthening, program implementation and research, and social and behavior change (SBC). The Technical Advisor II will oversee the subject matter aspects of a project, related to their respective technical area(s). The Technical Advisor II will provide technical assistance

Serves as an extension of the HIM Department in supporting SAC's interdisciplinary team under the direction of the HIM Coordinator and Corporate Compliance Officer/HIM Manager, HIM Standards, and per Federal and State guidelines. Provides support and assistance to the clinical staff in navigating the E.H.R system, Vision. Provides support and assistance to the clinical st

Serves as an extension of the HIM Department in supporting SAC's interdisciplinary team under the direction of the HIM Coordinator and Corporate Compliance Officer/HIM Manager, HIM Standards, and per Federal and State guidelines. Provides support and assistance to the clinical staff in navigating the E.H.R system, Vision. Provides support and assistance to the clinical st

Patient Access Specialist Job Locations US NY Utica Category Administrative/Clerical Position Type Full Time Work Arrangement Onsite ID 2024 3573 Overview Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. The Patient Access Specialist (PAS) meets with patients ente

Area Health Information Specialist I Job Locations US NY Buffalo Requisition ID 2024 35719 # of Openings 1 Category (Portal Searching) Medical Records Position Type (Portal Searching) Employee Full Time Equal Pay Act Minimum Range $17.00 $21.00 Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance hu

CDPHP and its family of companies are mission driven organizations that support the health and well being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician guided not for profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its c

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician founded, member focused, and community based not for profit health plan that offers high quality affordable health insurance to members throughout New York. The company value

Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate ind

Provides technical guidance on research utilization (RU) practices and strategies across multiple focal area(s), inclusive of maternal and newborn child health (MNCH), malaria, emerging infectious diseases, nutrition, water, sanitation, and hygiene (WASH), social and behavior change (SBC), etc. programming. The Technical Advisor I will lead the project's efforts to move e

KLDiscovery, one of the largest national eDiscovery providers, is currently seeking attorneys who are actively licensed in any U.S. jurisdiction, including recently admitted attorneys, who desire an engaging work environment where they are valued and respected. We have an ongoing need for document reviewers. Document Reviewers will review documents for complex litigation

Job Location New York (18217) New York, NY Position Type Part Time   Salary Range $19.36 $19.36 Hourly Job Shift Any Description Employment Opportunity At Inter Con we take pride in providing customized security solutions for our clients. To us, that means the right officer in the right place and at the right time. In many cases our clients desire a softer security pl