Reviews and resolves billing edits and claim denials from payors by researching payor policies, reviewing billing records, and understanding EPIC workflows Submits corrected claim(s)/appeals in accordance with payor policies and billing regulations to maximize reimbursement and efficiently lower A/R Maintain account notes detailing progress on collecting open aged receiva

Senior Clinical Analyst. Yonkers, NY. Automate existing report, build new reports & transform data using IBM DataStage. Expand QI & I's capacity to generate & disseminate standing/ad hoc reports. Data extract from EPIC Clarity & Caboodle databases using SQL server/Oracle. BS in Electronics Engineering, or Computer Science, or Mathematics or related field. Any position w/

include Analyze, configure, test and support the respective modules of the Epic Electronic Health Record (EHR) software and related analytics, with minimal supervision. Perform system configuration functions utilizing and/or with assistance of on line architectural tools, in house documentation or support from other members of the team. Interact with operational end users

NOTICE OF FILING OF APPLICATION UNDER THE U.S. DEPARTMENT OF LABOR'S PERMANENT LABOR CERTIFICATION PROGRAM An application concerning the employment of one or more alien workers for the following permanent position will be filed with the Department of Labor. This Notice of Filing will be posted for 10 consecutive business days, ending between 30 and 180 days before filing

This position will provide a broad range of Human Resources support services to the Labor Relations Department. The HR Specialist will provide guidance on an array of HR related transactions. This position will handle entry level employee relations inquires and gather data and documents for grievances and arbitrations. In addition, support high phone volume, calendar mana

Resolve Coding Related denials through thorough review of Medical Records to support the billing of various types of services such as E/Ms, Diagnostic Tests, Laboratory, Pathology, Office Procedures, Surgeries, Anesthesia, etc. Conduct Audits on Down Coded E/M services Conduct Audits and submit supporting documentation in response to Medicare RAC Audits Conduct Quality As

The role of the Business Intelligence (BI) Manager is to lead the development of informatics capability designed to optimize patient outcomes and increase operational efficiency at Montefiore. The incumbent will possess mature expertise, content knowledge, and problem solving skills critical for developing customized and sustainable data driven solutions for problems impa

The Performance Improvement Specialist is responsible for supporting The Montefiore Center for Performance Improvement which serves as a centralized resource to facilitate adoption of a standardized approach to performance improvement and quality improvement across the Montefiore health system. This position supports the efforts and goals of the Center for Performance Imp

OF POSITION The Operations Manager manages the fast paced day to day operations for the Transfer and Admitting Command Center including bed assignments, coordinating OHS transfers and monitoring patient throughput. The Operations Manager implements admission and transfer policies and practices in coordination with the medical, nursing and executive leadership team to ensur

INCLUDE Auditing user access to patient data to identify and investigate any anomalies, including working with the FairWarning privacy system Providing direct support to the Montefiore compliance team by assuring information system processes and procedures meets applicable compliance requirements Identifying opportunities, recommend and oversee implementations efficiencies

The responsibilities of the Senior Clerk includes, but is not limited to, cash collection and accounts receivable solution. This also includes verification of patient insurance coverage, updating both patient demographic and insurance information, communicating payers trends, claim logic, reimbursement and rejection trends as well as errors to management, phone interactio

Contact payers torequestservice authorization for both scheduled and unscheduledservicesfor Montefiore Medical Center patients whoseinsurancerequires authorization.Ensurepayersareprepared toreimburseorganization for scheduled services in accordance with payer provider contracts.Collectfinancialand/ordemographic information frompatientsas needed This positionisresponsible

Participates in the development and management of Quality Improvement projects, incorporating standards of care according with the Joint Commission, Infection Prevention Control, NYS DOH and other regulatory guidelines. Works with the site and collaborative teams to continue improvement for staff development and practice in the assigned areas in collaboration with Montefi

The primary purpose is to abstract clinical data from patients' medical record and input the data into to a regulatory/JC vendor database (i.e. Core Measures). The individual must be able to analyze events of care and identify potential quality issues and should be knowledgeable regarding performance measurement and improvement. In addition the individual must be able to

Install new applications, new components, and upgrade existing applications. Configure application settings Provide go live and rollout support Interface with users/clients across the Montefiore Health System. Support users on new applications, modules, and functionality Perform analysis of necessary application modifications and work with the appropriate Montefiore IT as