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CLINICAL ANALYST CO DENIAL

BRONX, NY, US


This position requires that the candidate reviews medical records and related documentation and identifies and resolves issues to maximize  cost outlier reimbursement. Participates in the third party appeal process and follows-up with outside agencies.

 

Education/skills:

 

RN with medical/surgical clinical experience  (minimum 2 years)

 

Computer literate/ EPIC experience would be helpful (able to navigate around systems)

 

Detail orientated as this involves the auditing of charges against billed charges to validate/ensure all charges billed are correct  (based upon medical record documentation review)

 

Able to work independently and make decisions based upon training/resources

 

Good written/oral communication skills

 

 

 

Department: Health Service Receivables Bargaining Unit: Non Union Campus: FORDHAM  Employment Status: Regular Full-Time Address: 1 Fordham Plaza, Bronx
Shift: Day Scheduled Hours: 8 AM-4:30 PM Req ID: 101786 

 

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 

 

N/A 


Mission:
To heal, to teach, to discover and to advance the health of the communities we serve.

Vision:
To be a premier academic medical center that transforms health and enriches lives.

Values
Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity

 

 

 

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