Physician reviewer jobs in Massapequa, New YorkCreate job alerts

Job Description As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to: • Confirm and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. This position requires working on-site at the Jericho, NY office. Qualifications: • Excellent interpersonal and communication skills, both written and verbal., • Ability to relate effectively with technical, medical, analytical and administrative personnel., • Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint., • Being able to handle sensitive and confidential information., • Ability to work in a team environment and independently. Education & Experience: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required, • Bachelor’s degree in healthcare administration or health information management preferred., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Some experience in utilization reviews preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. You will conduct clinical level review, determine physician level assignment, manage case staging between external physician experts and manage appeal processes within strict deadlines. Duties include but are not limited to: • Conducting reviews up to and including the appeal level. This includes chart screening, writing case summaries, determining documentation adequacy, researching insurer requirements, complete decision templates and preparing final determinations., • Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations., • Training and mentoring new RNs as the project expands., • Understanding multi-state requirements., • Participate in collaborative training. This position is based in IPRO's Headquarter office located in Jericho, NY. QUALIFICATIONS: • Knowledge and experience with electronic medical records., • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • Ability to meet deadlines in a time sensitive environment. EDUCATION & EXPERINCE: • New York Licensed Registered Nurse, required., • A bachelor’s degree in nursing OR graduate of an approved Registered Professional Nurses training program, required., • Minimum of two (2) years’ experience in a clinical setting, required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $38.461 – $43.269. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Licensed Psychiatric Nurse Practitioner.Wage: Between $89-$203 an hour.Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?.Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to acce

Aesthetics Injectables Nurse Practitioner or Physician Assistant - Roslyn Heights, New York.

Per Diem (United States of America).Thank you for your interest in Albany Med Health System! Albany Med Health System is an equal opportunity employer.This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but n

Per Diem (United States of America).Thank you for your interest in Albany Med Health System!.Albany Med Health System is an equal opportunity employer.This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but n

Wellness Nurse Practitioner / Physician Assistant -.

Are you a Doctor of Osteopathy (DO) or Nurse Practitioner looking to expand your practice in a collaborative, holistic wellness environment? We have a rental space available at Amityville Acupuncture & Wellness!.Thursday Mornings: 9:00 AM - 1:00 PM.Prime Location in Amityville with a loyal client ba

Are you passionate about women’s health and dedicated to providing holistic, patient-centered care? Join FemmPro OB/GYN, a leading and growing practice with locations in Garden City and Massapequa, NY, where we focus on the complete wellness of women at every stage of life.We are seeking an empat

Work alongside physicians, specialists, and care teams to ensure coordinated treatment.

Advanced Practice Provider (Nurse Practitioner or Physician Assistant). We are seeking a dedicated and compassionate Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to. Provide comprehensive outpatient internal medicine care under physician collaboration.

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in

Graduate of an accredited (Accreditation Review Committee for Physician Assistant Programs, ARC-PA) program, required. Current NCCPA Certification from the National Commission on the Certification of Physician Assistants (NCCPA), required.

Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. Take complex medical histories on patients referred for consultation by academic and community physicians; perform physical examinations; order laboratory tests

The Nurse Practitioner provides comprehensive primary and episodic healthcare to college students within a campus health center setting.This role emphasizes holistic, developmentally informed care for young adults and collaboration with counseling, wellness, and campus partners to support student su

Bachelor's or equivalent degree in physician assistant studies and successful completion of physician assistant training program approved by the NYS Department of Education or accredited by the Accreditation Review Commission on Education for the Physician Assistant, or a program that is determined

Nurse Practitioner or Physician Assistant - Pediatrics, West Seneca, NY. We are looking for a Nurse Practitioner or a Physician Assistant to join our outstanding team in West Seneca, NY!. NY State Licensed Nurse Practitioner or Physician Assistant.

Consults with outside physicians or dentists as needed.

Assist and work closely with physicians to provide patient care. Ability to make care decisions based on the best medical practices without direct supervision or guidance by a physician. Unified Women's Healthcare is affiliated with the largest, physician-owned Ob-Gyn practice network in the nation,

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience.At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in e

Graduate of an accredited (Accreditation Review Committee for Physician Assistant Programs, ARC-PA) program, required. Current NCCPA Certification from the National Commission on the Certification of Physician Assistants (NCCPA), required.

Nurse Practitioner / Physician Assistant - Flexible Schedule. Position Overview: The Nurse Practitioner / Physician Assistant provides professional nursing care to patients/significant others via direct and/or telephone contact, following established standards and practices. Minimum Qualifications:

Only QUALIFIED Healthcare Professionals accepted).Midwife - Nurse Practitioner OR Midwife Freeport NY (S Shore of LI).We are looking for a Nurse Practitioner or Midwife to join our practice full time in the Freeport, NY Long Island area.The incoming nurse practitioner|midwife must be compassionate,

Wellness Nurse Practitioner / Physician Assistant – Mineola, NY.

Under physician supervision, the APP practices at the top of their license and works closely with the oncology care team to manage patients throughout their treatment journey. Minimum 2 years of APP experience in a physician practice or ambulatory setting preferred.

Consults with collaborating physician and other members of the health care team to establish plan of care;.

The NP will assist in collaboration with the physicians, Cardiology Interventionist, in providing assessments, diagnosis, care and treatment of patients in an inpatient cardiology setting and will document findings in a thorough progress note. Serves as a liaison and resource to the Cardiac Cath Lab

Aesthetics Injectables Nurse Practitioner or Physician Assistant - Roslyn Heights, New York Job#16778643. Must have injectables experience as a Nurse Practitioner or Physician Assistant.

Fellowship Allergy Nurse Practitioner or Physician's Assistant. Fellowship Allergy Nurse Practitioner or Physician's Assistant. Join our team as a Nurse Practitioner or Physician Assistant specializing in allergy and immunology.

As an CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis. Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with

Provides consistent, high quality care consistent with accepted national and/or community standards.Collaborates with office staff in development and performance of efficient office practices.Liaisons with practice management and hospital administration on behalf of the practices.Liaisons with staff

Works collaboratively with the attending physician, consulting physician(s), and other disciplines to identify, develop, and implement an appropriate plan of care that maximizes individual patient/ family preference and enhances quality, access, and cost-effective outcomes. Orders customary laborato

Active and unrestricted RN and NP license, or Physician Assistant license. Bilingual Nurse Practitioner/Physician Assistant. Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high-quality in-home care to patients

A well-established, physician-led group with locations throughout Long Island, is currently seeking to hire a Family Nurse Practitioner. Collaborate with referring physicians, specialists, and care teams to ensure seamless patient care.

A well-established, physician-led group with locations throughout Long Island, is currently seeking to hire a Family Nurse Practitioner. Collaborate with referring physicians, specialists, and care teams to ensure seamless patient care.

Experienced Injector Nurse Practitioner or Physician Assistant in Long Island New York Job#16667024. We are seeking a full-time experienced Nurse Practitioner or Physician Assistant in Long Island New York. Must have a current Nurse Practitioner or Physician Assistant license in the state of New Yor

A well-established, physician-led group with locations throughout Long Island, is currently seeking to hire a Family Nurse Practitioner. Collaborate with referring physicians, specialists, and care teams to ensure seamless patient care.

Must be comfortable working independently but have Physician support at all times. Master's degree in Physician Assistant or Nurse Practitioner from an accredited program. Physician-led, patient centered team-based environment.

Psychiatric Mental Health Nurse Practitioners (PMHNPs) or experienced Physician Assistants to provide psychiatric care in long-term care and rehabilitation settings.

Orders customary laboratory, radiological and diagnostic studies per practice protocols, differentiates between normal/abnormal findings and follows protocols for abnormal findings, which may include referral to consulting physicians per customary pattern of the attending MD or with collaborating ph

A well-established, physician-led group with locations throughout Long Island, is currently seeking to hire a Family Nurse Practitioner. Collaborate with referring physicians, specialists, and care teams to ensure seamless patient care.

A well-established, physician-led group with locations throughout Long Island, is currently seeking to hire a Family Nurse Practitioner. Collaborate with referring physicians, specialists, and care teams to ensure seamless patient care.

A well-established, physician-led group with locations throughout Long Island, is currently seeking to hire a Family Nurse Practitioner. Collaborate with referring physicians, specialists, and care teams to ensure seamless patient care.

Traveling Psychiatric Nurse Practitioner.We are seeking an experienced Traveling Psychiatric Nurse Practitioner (PMHNP) to serve in a senior clinical leadership role supporting and mentoring our network of psychiatric providers across New York and New Jersey.This role combines clinical expertise, pr

In collaborative agreement with physician(s) on staff and fulfills terms of collaborative agreement. The Certified Nurse Practitioner assists in functions related to the diagnosis and treatment of patients under the supervision of an attending physician within the hospital. Will consider a Physician

We are seeking a licensed Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide ongoing psychiatric services within residential and post-acute care settings.This position emphasizes continuity of care, clinical autonomy, and collaborative practice in a non-acute environment serving adult a

Confers with attending physicians, residents, nursing staff, and/or other care providers to ensure optimum quality of patient care.