Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager.
Responsibilities:
Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
Receives hospital information to properly bill provider services for hospital patients.
Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.
Supplies correct HCPCS code on all procedures and services performed.
Supplies correct CPT code on all procedures and services performed.
Contacts providers to train and update them with correct coding information.
Attends seminars and in-services as required to remain current on coding issues.
Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies.
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
Maintains all mandatory in-services.
Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
Quantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Qualitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary.
Performs other related duties, which may be inclusive, but not listed in the job description.
city: Commack
Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager.
Responsibilities:
Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
Receives hospital information to properly bill provider services for hospital patients.
Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.
Supplies correct HCPCS code on all procedures and services performed.
Supplies correct CPT code on all procedures and services performed.
Contacts providers to train and update them with correct coding information.
Attends seminars and in-services as required to remain current on coding issues.
Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies.
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
Maintains all mandatory in-services.
Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
Quantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
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Qualitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary.
Performs other related duties, which may be inclusive, but not listed in the job description.
The Division of General Obstetrics & Gynecology at Stony Brook Medicine is recruiting a full-time Hospitalist to join a busy academic practice with an established history of excellence. Responsibilities include labor management of low-risk deliveries at our Stony Brook Southampton Hospital, coverage of inpatient obstetrics & gynecology services at Stony Brook University Hospital, and education of medical students and residents. This is a great opportunity to join a dynamic department with career opportunities in education, quality, simulation, and research.
The Department encompasses faculty in each of the recognized specialties, an accredited Residency program, an accredited Fellowship in Maternal Fetal Medicine and Minimally Invasive and Robotic Surgery, as well as a Fellowship for Academic Specialists in General Obstetrics and Gynecology.
Stony Brook University Hospital is the tertiary care center for Suffolk County, the Regional Trauma Center, and the Regional Perinatal Center, with over 4200 deliveries per year. It is a 603-bed hospital that is in the process of a $500 million expansion, with a new Children’s Hospital and a 500,000-square-foot clinical and research space.
Stony Brook Southampton Hospital serves a diverse population in the heart of Long Island’s east end. The hospital has access to all specialties, does 900 deliveries a year with a level 2 NICU, and is closely integrated with Stony Brook University Hospital.
JOB RESPONSIBILITES:
Provides health care to patients including diagnosis and treatment as team leader.
Obtains medical histories, performs physical examinations, and makes diagnosis, and orders appropriate, standard laboratory and diagnostic procedures as necessary.
Evaluates procedure results. Provides preventative as well as acute care.
Provides continuity of care by developing and implementing patients’ plan of care.
Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients’ individual circumstances.
Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
Prescribes medications.
Documents exam and progress notes in the Electronic Medical Record. Provides referral letters as needed.
Collects, monitors and reports on patient outcomes.
Share night and weekend call coverage with other Physicians.
Ensure HIPAA guidelines are followed at all times.
Responsible for the conduct and care given by other clinical office staff including nurses, medical assistants and technologists. The physician is the head of the clinical team.
Responsible for conduct and patient interaction of shadowing medical students, physician extenders and nursing interns.
Responsible for meeting quality benchmarks established by Population Health, Payors, NYS DOH or Center for Medicare/Medicaid Services.
Follows established evidence based practices and assures good quality patient care.
city: Smithtown
The Division of General Obstetrics & Gynecology at Stony Brook Medicine is recruiting a full-time Hospitalist to join a busy academic practice with an established history of excellence. Responsibilities include labor management of low-risk deliveries at our Stony Brook Southampton Hospital, coverage of inpatient obstetrics & gynecology services at Stony Brook University Hospital, and education of medical students and residents. This is a great opportunity to join a dynamic department with career opportunities in education, quality, simulation, and research.
The Department encompasses faculty in each of the recognized specialties, an accredited Residency program, an accredited Fellowship in Maternal Fetal Medicine and Minimally Invasive and Robotic Surgery, as well as a Fellowship for Academic Specialists in General Obstetrics and Gynecology.
Stony Brook University Hospital is the tertiary care center for Suffolk County, the Regional Trauma Center, and the Regional Perinatal Center, with over 4200 deliveries per year. It is a 603-bed hospital that is in the process of a $500 million expansion, with a new Children’s Hospital and a 500,000-square-foot clinical and research space.
Stony Brook Southampton Hospital serves a diverse population in the heart of Long Island’s east end. The hospital has access to all specialties, does 900 deliveries a year with a level 2 NICU, and is closely integrated with Stony Brook University Hospital.
JOB RESPONSIBILITES:
Provides health care to patients including diagnosis and treatment as team leader.
Obtains medical histories, performs physical examinations, and makes diagnosis, and orders appropriate, standard laboratory and diagnostic procedures as necessary.
Evaluates procedure results. Provides preventative as well as acute care.
Provides continuity of care by developing and implementing patients’ plan of care.
Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients’ individual circumstances.
Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
Prescribes medications.
Documents exam and progress notes in the Electronic Medical Record. Provides referral letters as needed.
Collects, monitors and reports on patient outcomes.
Share night and weekend call coverage with other Physicians.
Ensure HIPAA guidelines are followed at all times.
Responsible for the conduct and care given by other clinical office staff including nurses, medical assistants and technologists. The physician is the head of the clinical team.
Responsible for conduct and patient interaction of shadowing medical students, physician extenders and nursing interns.
Responsible for meeting quality benchmarks established by Population Health, Payors, NYS DOH or Center for Medicare/Medicaid Services.
Follows established evidence based practices and assures good quality patient care.
We are seeking a board-certified or board eligible Reproductive Endocrinologist and Fertility Specialist to join our growing practice. The ideal candidate will provide comprehensive reproductive healthcare, including the diagnosis and treatment of infertility, hormonal disorders, and other reproductive conditions. This position requires a compassionate and skilled physician dedicated to providing exceptional patient care and contributing to the advancement of reproductive medicine.
Responsibilities:
Patient Care:
Diagnose and treat infertility in both male and female patients.
Perform and interpret diagnostic tests, including hormone level assessments, ultrasound examinations, and semen analysis.
Develop and implement individualized treatment plans, including ovulation induction, intrauterine insemination (IUI), and in vitro fertilization (IVF).
Provide fertility preservation services, such as egg freezing and sperm banking.
Manage patients with reproductive endocrine disorders, such as polycystic ovary syndrome (PCOS), endometriosis, and recurrent pregnancy loss.
Provide patient education and counseling regarding fertility options and treatment outcomes.
Perform surgical procedures related to reproductive health.
Clinical and Administrative Duties:
Maintain accurate and up-to-date patient records.
Collaborate with other healthcare professionals, including nurses, embryologists, and support staff.
Participate in quality improvement initiatives
Adhere to all ethical and legal standards of medical practice.
Participate in on call rotations as needed.
Professional Development:
Stay current with the latest advancements in reproductive endocrinology and fertility.
Participate in continuing medical education (CME) activities.
city: Commack
We are seeking a board-certified or board eligible Reproductive Endocrinologist and Fertility Specialist to join our growing practice. The ideal candidate will provide comprehensive reproductive healthcare, including the diagnosis and treatment of infertility, hormonal disorders, and other reproductive conditions. This position requires a compassionate and skilled physician dedicated to providing exceptional patient care and contributing to the advancement of reproductive medicine.
Responsibilities:
Patient Care:
Diagnose and treat infertility in both male and female patients.
Perform and interpret diagnostic tests, including hormone level assessments, ultrasound examinations, and semen analysis.
Develop and implement individualized treatment plans, including ovulation induction, intrauterine insemination (IUI), and in vitro fertilization (IVF).
Provide fertility preservation services, such as egg freezing and sperm banking.
Manage patients with reproductive endocrine disorders, such as polycystic ovary syndrome (PCOS), endometriosis, and recurrent pregnancy loss.
Provide patient education and counseling regarding fertility options and treatment outcomes.
Perform surgical procedures related to reproductive health.
Clinical and Administrative Duties:
Maintain accurate and up-to-date patient records.
Collaborate with other healthcare professionals, including nurses, embryologists, and support staff.
Participate in quality improvement initiatives
Adhere to all ethical and legal standards of medical practice.
Participate in on call rotations as needed.
Professional Development:
Stay current with the latest advancements in reproductive endocrinology and fertility.
Participate in continuing medical education (CME) activities.
The Authorization/Referral specialist works , as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.
JOB RESPONSIBILITES:
Obtains authorizations for ancillary tests and medical procedures.
Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.
Performs eligibility checks on members as necessary by telephone or electronically.
Follows procedures for proper authorization and processing of all referral services.
Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
Communicates with patient and practice to ensure follow through with referrals.
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
Completes all administrative functions related with referral activities in an efficient manner.
Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.
Responsible for monitoring all referral reports not received and follow up in a timely manner.
Performs duties in honest and ethical manner.
Perform other duties as assigned.
city: Commack
JOB SUMMARY:
The Authorization/Referral specialist works , as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.
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JOB RESPONSIBILITES:
Obtains authorizations for ancillary tests and medical procedures.
Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.
Performs eligibility checks on members as necessary by telephone or electronically.
Follows procedures for proper authorization and processing of all referral services.
Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
Communicates with patient and practice to ensure follow through with referrals.
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
Completes all administrative functions related with referral activities in an efficient manner.
Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.
Responsible for monitoring all referral reports not received and follow up in a timely manner.
The Insurance Benefits Verification Specialist plays a crucial role in the fertility practice by ensuring accurate insurance coverage for patients. This position requires strong attention to detail, excellent communication skills, and a deep understanding of insurance policies and procedures. Part of this role is patient facing. It will require money collection and financial conversations with the patients.
Essential Job Functions:
Rotate weekends and holidays as necessary
Booking appointments (eIVF)
Updating patient demographics/Insurance
Verify patient insurance eligibility and coverage for fertility treatments and procedures
Update patient records with insurance verification information
Collecting patient out-of-pocket costs and co-payments.
Communicate insurance information to patients in a clear and concise manner
Stay current on changes in insurance regulations and policies that affect fertility
city: Commack
Job Summary:
The Insurance Benefits Verification Specialist plays a crucial role in the fertility practice by ensuring accurate insurance coverage for patients. This position requires strong attention to detail, excellent communication skills, and a deep understanding of insurance policies and procedures. Part of this role is patient facing. It will require money collection and financial conversations with the patients.
Essential Job Functions:
Rotate weekends and holidays as necessary
Booking appointments (eIVF)
Updating patient demographics/Insurance
Verify patient insurance eligibility and coverage for fertility treatments and procedures
Update patient records with insurance verification information
Collecting patient out-of-pocket costs and co-payments.
Communicate insurance information to patients in a clear and concise manner
We are looking for an IVF RN to work in a private office setting, which requires specialized knowledge, clinical judgement, and nursing skills. The RN is part of a team using patient care skills to meet established practice guidelines, office policies and regulatory standards, under supervision of the physician or nurse practitioner.
Essential Job Functions:
Places patients in the exam room and documents for physician the reason for visit.
Measures patients height, weight, and vitals.
Gather/Enter/Update patient information in the EMR.
Assist physician with special procedures and examinations.
Draw blood and collect lab specimens as requested by the physician.
Prepare and administer medications on physicians orders.
Circulates in the Operating Room.
Recovering patients post operatively.
Obtain results from outside labs, radiology, and other doctors offices.
Provide patient education for treatments, medications, and physician instructions.
Stock rooms with medical supplies and medications. Inventory and order supplies.
Call patients when ordered by the physician.
Observe patient confidentiality in accordance with HIPPA.
Complete other tasks as directed by the physician.
city: Commack
Job Summary:
We are looking for an IVF RN to work in a private office setting, which requires specialized knowledge, clinical judgement, and nursing skills. The RN is part of a team using patient care skills to meet established practice guidelines, office policies and regulatory standards, under supervision of the physician or nurse practitioner.
Essential Job Functions:
Places patients in the exam room and documents for physician the reason for visit.
Measures patients height, weight, and vitals.
Gather/Enter/Update patient information in the EMR.
Assist physician with special procedures and examinations.
Draw blood and collect lab specimens as requested by the physician.
Prepare and administer medications on physicians orders.
Circulates in the Operating Room.
Recovering patients post operatively.
Obtain results from outside labs, radiology, and other doctors offices.
Provide patient education for treatments, medications, and physician instructions.
Stock rooms with medical supplies and medications. Inventory and order supplies.
Call patients when ordered by the physician.
Observe patient confidentiality in accordance with HIPPA.
Complete other tasks as directed by the physician.
To assist in the performance of the routine diagnostic analytical work of the Andrology and Endocrinology Department while complying with and working to all documented procedures in accordance with appropriate accreditation and/or regulatory bodies.
Job Functions:
To engage in all duties required for the process of all laboratory tests ensuring that the highest levels of quality and service are maintained.
To be fully familiar with the laboratory IT system and to participate in the data verification procedures for authorization and validation laboratory results.
To take part in effective internal and external Quality Control and Assurance.
Responsible for performing various therapeutic processing and diagnostic tests.
Explains test procedures to patients.
Maintains accurate patient documentation, including computerized documentation.
Performing daily tasks such as semen analysis, semen processing for insemination and for in vitro fertilization, semen cryopreservation, and running the blood hormone analyzer.
Working as part of an interdisciplinary team to help individuals and families make their dream of building a family a reality.
city: Commack
To assist in the performance of the routine diagnostic analytical work of the Andrology and Endocrinology Department while complying with and working to all documented procedures in accordance with appropriate accreditation and/or regulatory bodies.
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Job Functions:
To engage in all duties required for the process of all laboratory tests ensuring that the highest levels of quality and service are maintained.
To be fully familiar with the laboratory IT system and to participate in the data verification procedures for authorization and validation laboratory results.
To take part in effective internal and external Quality Control and Assurance.
Responsible for performing various therapeutic processing and diagnostic tests.
Explains test procedures to patients.
Maintains accurate patient documentation, including computerized documentation.
Performing daily tasks such as semen analysis, semen processing for insemination and for in vitro fertilization, semen cryopreservation, and running the blood hormone analyzer.
Working as part of an interdisciplinary team to help individuals and families make their dream of building a family a reality.
Embryologist III reports to the laboratory director and follows corporate policies/procedures and departmental policies/procedures approved by the laboratory director. Embryologist III is responsible, along with other Lab staff, for providing quality Embryology procedures including but not limited to intracytoplasmic sperm injection (ICSI), Assisted hatching (AH), embryo grading and transfer, embryo/blastocyst vitrification, blastocyst biopsy, biopsied cell processing, oocyte vitrification and warming for infertile couples wishing to achieve pregnancy. Responsibilities include technical benchwork, administrative tasks as assigned by the lab director, quality control and quality assurance activities and documentation including result reporting and tissue transmittal (paper as well as electronic). Participates in on call rotation for alarm handling.Embryologist III reports to the laboratory director and follows corporate policies/procedures and departmental policies/procedures approved by the laboratory director. Embryologist III is responsible, along with other Lab staff, for providing quality Embryology procedures including but not limited to intracytoplasmic sperm injection (ICSI), Assisted hatching (AH), embryo grading and transfer, embryo/blastocyst vitrification, blastocyst biopsy, biopsied cell processing, oocyte vitrification and warming for infertile couples wishing to achieve pregnancy. Responsibilities include technical benchwork, administrative tasks as assigned by the lab director, quality control and quality assurance activities and documentation including result reporting and tissue transmittal (paper as well as electronic). Participates in on call rotation for alarm handling.
Essential Job Functions- Expert Level
Interacts with patients and staff professionally. Maintains patient confidentiality.
Learns elements of patient correspondence for the disposition of their cryo stored samples.
Maintains good working relationships and helps create a patient centered service environment.
Communicates with other departments of Island Fertility and communicates lab information with
Physicians as appropriate. This includes following proper hierarchy protocol.
Performs data entry into LIS/EMR and SART.
Complete assigned competencies within deadline.
Follows safety policies. Maintain a safe working environment.
Reports promptly with utmost truth and transparency, any nonconformance/incident/deviation from
standard operating procedure(s) whether involved in, discovered, or observed.
Complete assigned training and competencies within deadline.
Trains new hires per laboratory directors request.
city: Commack
Embryologist III reports to the laboratory director and follows corporate policies/procedures and departmental policies/procedures approved by the laboratory director. Embryologist III is responsible, along with other Lab staff, for providing quality Embryology procedures including but not limited to intracytoplasmic sperm injection (ICSI), Assisted hatching (AH), embryo grading and transfer, embryo/blastocyst vitrification, blastocyst biopsy, biopsied cell processing, oocyte vitrification and warming for infertile couples wishing to achieve pregnancy. Responsibilities include technical benchwork, administrative tasks as assigned by the lab director, quality control and quality assurance activities and documentation including result reporting and tissue transmittal (paper as well as electronic). Participates in on call rotation for alarm handling.Embryologist III reports to the laboratory director and follows corporate policies/procedures and departmental policies/procedures approved by the laboratory director. Embryologist III is responsible, along with other Lab staff, for providing quality Embryology procedures including but not limited to intracytoplasmic sperm injection (ICSI), Assisted hatching (AH), embryo grading and transfer, embryo/blastocyst vitrification, blastocyst biopsy, biopsied cell processing, oocyte vitrification and warming for infertile couples wishing to achieve pregnancy. Responsibilities include technical benchwork, administrative tasks as assigned by the lab director, quality control and quality assurance activities and documentation including result reporting and tissue transmittal (paper as well as electronic). Participates in on call rotation for alarm handling.
Essential Job Functions- Expert Level
Interacts with patients and staff professionally. Maintains patient confidentiality.
Learns elements of patient correspondence for the disposition of their cryo stored samples.
Maintains good working relationships and helps create a patient centered service environment.
Communicates with other departments of Island Fertility and communicates lab information with
Physicians as appropriate. This includes following proper hierarchy protocol.
Performs data entry into LIS/EMR and SART.
Complete assigned competencies within deadline.
Follows safety policies. Maintain a safe working environment.
Reports promptly with utmost truth and transparency, any nonconformance/incident/deviation from
standard operating procedure(s) whether involved in, discovered, or observed.
Complete assigned training and competencies within deadline.
Trains new hires per laboratory director?s request.
An exempt clerical position responsible for functions related to payroll, personnel information and employee documentation. Responsible for developing and implementing the full cycle of recruitment from the initial point of contact with qualified candidates through hiring.
Responsibilities:
Ensures new employees receive appropriate items including employee ID badge, insurance/benefit information, orientation materials. Adds data to employee census.
Ensures terminated employee data is removed from appropriate employee databases, including insurance/benefits, time/leave date, employee census and file is moved to inactive status.
Coordinate events relating to on-boarding, orientation/benefits.
Participates in annual open enrollment benefit period and processes benefit documents.
Works with department directors and managers to identify professional staff needs and to develop a strategic recruitment plan.
Responsible for reviewing applicants and screening potential candidates, including initial screening interviews.
Reviews and checks all candidate references.
Screen or interview candidates as needed.
Familiar with FMLA, Workman’s Comp and Disability policies and paperwork.
Processes Cobra, long-term disability and FMLA paperwork.
Processes employment verification forms.
Other duties as assigned.
city: Commack
An exempt clerical position responsible for functions related to payroll, personnel information and employee documentation. Responsible for developing and implementing the full cycle of recruitment from the initial point of contact with qualified candidates through hiring.
Responsibilities:
Ensures new employees receive appropriate items including employee ID badge, insurance/benefit information, orientation materials. Adds data to employee census.
Ensures terminated employee data is removed from appropriate employee databases, including insurance/benefits, time/leave date, employee census and file is moved to inactive status.
Coordinate events relating to on-boarding, orientation/benefits.
Participates in annual open enrollment benefit period and processes benefit documents.
Works with department directors and managers to identify professional staff needs and to develop a strategic recruitment plan.
Responsible for reviewing applicants and screening potential candidates, including initial screening interviews.
Reviews and checks all candidate references.
Screen or interview candidates as needed.
Familiar with FMLA, Workman’s Comp and Disability policies and paperwork.
Processes Cobra, long-term disability and FMLA paperwork.
