Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

The nation's largest municipal health care delivery system in the United States dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, and regardless of immigration status or ability to pay. Summary of Need Collecting, receiving, labeling, and/or analyzing samples or substances using the correct testing equ

Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner. Implements the Medical Center's scheduling, pre registration, pre certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures an accurate patient se

The Inpatient DRG Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official Coding

Lead Health Information Specialist Job Locations US NJ Wayne Requisition ID 2024 36134 # of Openings 1 Category (Portal Searching) Medical Records Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics company fo

Responsible for running queries and providing required analysis to understand drivers related to medical cost and utilization by providing an insightful narrative that assists management with decision making with informed facts. Extract, analyze, and interpret data for more complex insights related to cost drivers and by managing the escalation of issues that impact costs

The nation's largest municipal health care delivery system in the United States dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, and regardless of immigration status or ability to pay. Job Description The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, i

The International Rescue Committee (IRC) responds to the world's worst humanitarian crises, helping to restore health, safety, education, economic wellbeing, and power to people devastated by conflict and disaster. Founded in 1933 at the call of Albert Einstein, the IRC is one of the world's largest international humanitarian non governmental organizations (INGO), at work

Job Description The project is proposed to be hosted remotely/hybrid out of our New York office for 35 hours per week for 4 weeks (140 HOURS) and is designed for LIFE SCIENCE/PSYCHOLOGY students only. If you have any queries please contact IPG Health Medical Communications provides medical communication services to the healthcare industry. Medical Communications is the na

Advanced subject matter expert in HIV/AIDS, tuberculosis (TB), and other communicable diseases, 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 prov

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Acts as Functional Lead for Data Management including primary contact for internal liaison between Data Management/Operations and Project Management, Clinical Monitoring, and other functional groups Coordinate the work of the assigned Data Management/Data Operations team Ensures launch, delivery and completion of all Data Management activities and milestones according to

Medical Records Specialist II Onsite Job Locations US NJ Trenton | US NJ Princeton | US NJ Burlington | US NJ Hazlet | US NJ Highlands | US NJ Morganville Requisition ID 2024 35566 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health da

Utilization Review Specialist Category Provider Physician, Psychiatrist, Nurse Practitioner Job Locations US East Region Remote Type Full Time About Us Newport Healthcare is a nationwide behavioral healthcare organization dedicated to transforming young lives through evidence based care. To that end, we have assembled the best teen and young adult mental health treatment

At Exact Sciences, we are cancer fighters. We are united by our mission to change lives by providing earlier, smarter answers. Through advances in cancer detection and treatment guidance, we will help eradicate the disease and the suffering it causes. A Screening Solutions Specialist (SSS) is a front line position in the fight against cancer. The SSS will drive product gr