Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service...
The CDS is responsible for the concurrent review of medical records to assure appropriateness of care, accuracy of documentation, validation...
Licenses and Certifications: * License and current registration to practice as a Registered Professional Nurse in New York State required * Certificate...
* Medical AR follow-up procedures to include reviewing and working aging reports, denials and insurance correspondence from various insurance...
The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation...
REFERRALS/ PRIOR AUTHORIZATION: Processing of all referrals and prior authorizations (hereafter referred to as ‘referral’) to ensure timely...
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