Medicare DRG Medical Review Specialist III
Empower AI
Empower AI is seeking a Medical Review Specialist III to perform comprehensive Medicare claims reviews. The role involves analyzing claims based on coding principles and ensuring compliance with quality standards. Applicants must be a Registered Nurse with at least four years of claims knowledge and three years of clinical experience. This position offers the opportunity to impact healthcare reform at a national level while working in a dynamic environment. Empower AI is proud to support a diverse workforce. #J-18808-Ljbffr Empower AI
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Medicare DRG Medical Review Specialist III in New York, NY vacancy
- Empower AI is seeking a Medical Review Specialist III in Idaho. This role involves performing comprehensive medical record and claims reviews for Medicare Durable Medical Equipment payment determinations. Qualified candidates must be Registered Nurses with extensive claims...Suggested
- Empower AI is seeking a Medical Review Specialist III to perform Medicare comprehensive medical record and claims reviews. This casual role requires a Registered Nurse with at least four years of experience, focusing on payment determinations for Medicare PART A services...SuggestedCasual work
- Empower AI is seeking a casual Medical Review Specialist III. The role involves extensive Medicare comprehensive medical record review, critical for payment determinations under Medicare PART A. Candidates should be Registered Nurses with at least four years' related experience...SuggestedCasual work
$24 - $29 per hour
...across different systems and devices. Summary: The Lead Medical Materiel Specialist III shall include but are not limited to providing supervision... ...to affected units, AFMED, and NGB/SGX Conduct monthly reviews, and provides monthly reports to the COR, of SLEP and DMLSS...SuggestedHourly payContract workFor contractorsWork at officeRemote workVisa sponsorship- Empower AI is seeking a Medical Review Specialist V to review and analyze Medicare claims. The role requires a Registered Nurse with at least 10 years of clinical experience and minimum seven years of claims knowledge. This is a part-time position focused on ensuring compliance...SuggestedPart time
- Performs advanced technical review of Workers’ Compensation medical bills to ensure regulatory and coding compliance under NYS WCB mandates. This role applies... ...requirements. The role requires proficiency in EAPG and DRG methodologies, knowledge of multi‑state compliance...
- ...allows customization of schedule and caseload. Candidates must hold a valid NJ license. Responsibilities include reviewing health claims, providing medical interpretations, and ensuring compliance with relevant regulations. The role demands board certification, post-graduate...Remote jobFor contractorsFlexible hours
- ...firm in the United States seeks an experienced independent consultant for a telework position evaluating medical oncology cases. Responsibilities include reviewing medical records, providing clinical summaries, and engaging in peer communication. Candidates must be Board...Remote jobFor contractors
- ...Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-... ...downtown Nashua with a Level III-N trauma center, Level II Special... ...year. About the Job The Coding Specialist - Professional Based (PB) is... ...assignment. What You’ll Do Review and analyze professional medical...Full timeTemporary workPart timeWork at officeLocal areaFlexible hours
- ...Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-... ...downtown Nashua with a Level III-N trauma center, Level II Special... .... About the Job The Coding Specialist - Hospital Based, Emergency Department is responsible for reviewing and analyzing Emergency...Full timeTemporary workPart timeLocal areaFlexible hours
$23.13 per hour
Job Description Phlebotomist III Float - Houston, TX, Monday to Friday, 8:00 AM to 5:00 PM, with rotational weekends Proof of COVID... ...will be required - exemptions from vaccination requirement for medical and religious reasons will be considered if a conditional offer...Hourly payWork experience placementWork at officeMonday to FridayFlexible hoursShift workWeekend work$21.92 - $32.89 per hour
A leading healthcare diagnostics company is seeking a Phlebotomist III - Float in New York. This role involves drawing blood samples, mentoring new employees, and working in diverse patient environments. Candidates should have at least five years of phlebotomy experience...Hourly pay- Quest Diagnostics seeks a Phlebotomist III Float in New York, NY, responsible for drawing blood samples and mentoring new staff in various... ...and geriatric collections, and possess a high school diploma with medical training preferred. #J-18808-Ljbffr Quest Diagnostics
$150 per hour
JOB TITLE (#25023): Emergency NP / VA Reviewer - Remote Minimum of 5 years active clinical practice within the specialty and 2 years of... ...Audits FRRs (Facility Requested Reviews) - $95 / case MAOs (Medical Advisory Opinions) - $225 / case Responsibilities of the Emergency...Price workContract workRemote work- Overview Remote Medical Billing Specialist role focused on back-end accounts receivable follow-up, resolution of aged accounts, and denial management... ...eligibility discrepancies, UB-04 and/or 1500 claim form review, DRG, per diem, case rate, and fee schedule reimbursements....Remote job
$95 per hour
Long-Term Care Registered Nurse (VA Reviewer) - Remote (#25278) Location: Remote Employment Type: Contract (Case-based) Hourly Rate: Per... ..., you will provide critical clinical oversight by reviewing medical cases to assess the quality, timeliness, and appropriateness of...Remote jobHourly payPrice workContract workPrivate practiceWork at officeFlexible hours$25 - $27 per hour
...feel confident managing their care Prepare & Follow Up Review patient schedules ahead of time to identify who may benefit from... ...feel seen, heard, and cared for What We’re Looking For Medical Assistant (MA) background preferred Experience in a patient-...Hourly payRemote workDoral Health & Wellness
New York, NY11 days ago- A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical billing and coding. Ideal candidates will have a CPC, APCC, CMBS, or DRG certification and previous experience in a medical office...Remote jobExtra incomeWork at officeFlexible hours
- ...Medical Records Retrieval Specialist We are seeking a dedicated professional to join our team, responsible for interacting with provider offices, clinics... ...the retrieval of medical records for comprehensive review and abstraction. Schedule and conduct onsite medical...Work at officeLocal area
Phaxis
New York, NY2 days ago - ..., abstracts, codes or indexes patients' medical record in a health care setting in compliance... ...Duties and Responsibilities : 1. Reviews, analyzes, abstracts, codes or indexes... ...Education (CAHIIM)); or 3. Certified Coding Specialist (CCS) by AHIMA, Certified Professional...Local areaShift workWeekend work
NYC Health Hospitals
New York, NY18 hours ago - ...Medical Retina Specialist Position Full-time retina position with Prism Vision Group - NJ Retina / Eye Associates of Vineland and South Jersey... ...and practice building. Collaborative surgical skills review and mentorship. Physician-led administrative team, focused...Full timePrivate practiceRelocation package
PRISM Vision Group
Union City, NJ4 days ago $19.23 per hour
...time | 40 hours total Essential Job Functions Specialized Medical Specialist tasks: Make medical appointments for consumers.... ...to federal employment laws. For further information, please review the Know Your Rights ( notice from the Department of Labor....Hourly payPermanent employmentFull timeSeasonal workMonday to FridayNight shiftInstitute for Community Living , Inc.
Brooklyn, NY1 day ago$31.92 - $35.44 per hour
Title: Medical Coding Specialist Location: Midtown Org Unit: Code Compliance Work Days: Weekly Hours: 35.00 Exemption Status... ...Hired for NYC Offices Position Summary Responsible for reviewing medical records for compliance with coding and...Work at officeLocal areaCornell Cooperative Extension
New York, NY6 days ago- ...Medical Record Specialist Community Healthcare Network is seeking for a Medical Record Specialist (MRS) who will be responsible for processing... ...Responsibilities include, but are not limited to: Reviews the release of requested medical records and ensures that the...Local area
Community Healthcare Network
New York, NY1 day ago $122.12k - $244.24k
...Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care,... ...the provision of quality care. • Review of lab work, specialty consults,... ...the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other...Permanent employmentFull timeTemporary workPart timeWork at officeLocal areaRemote workWeekend workNew York State Civil Service
Brooklyn, NY4 days ago- ...Information Services, Inc. | Contract Job Description This is a remote position. Paradigm is seeking a Medical Record & Technology Specialist to support clinical review activities and the use of our client's AI technology. This position assists with reviewing medical...Contract workWork at officeRemote workTrial period
- ...Medical Specialist Primary Duties and Responsibilities As a Medical Specialist, you would... ...ensure the provision of quality care. Review of lab work, specialty consults, hospital... ...the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...Temporary workWeekend work
- ...divh2Medical Information Specialist - NJ/h2pA Few Words About Us Integrated Resources, Inc... ...liliHealthcare professional with 1-2 years of Drug/Medical Information experience./liliExcellent... ...when required./liliThrough regular review of customer contact data, alerts...
$55k
...Overview Medical management data & Report Specialist ensures the accuracy, consistency, and integrity of Utilization Management records and reports... ...ongoing in-service sessions for Medical Management staff to review new or updated system changes, as well as required CMS...Full timePart timeFlexible hoursMetropolitan Jewish Health System
New York, NY18 hours ago- ...supervision, is in charge of a section of the medical record department in a health care setting.... ...: 1. Supervises medical record specialists and other professional administrative staff. 2. Plans, assigns and reviews the work of medical records personnel. 3....Local areaShift workNight shift
NYC Health Hospitals
New York, NY5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicare DRG Medical Review Specialist III. Be the first to apply!
Related searches
- medical certification specialist New York, NY
- medical insurance specialist New York, NY
- patient care technician no experience New York, NY
- hca hospital New York, NY
- medical review specialist New York, NY
- medical office specialist New York, NY
- medical specialist New York, NY
- healthcare support worker New York, NY
- health care assistant hospital New York, NY
- patient transport technician New York, NY