• Payment Integrity Professional

    Humana (Albany, NY)
    …their own time zone. **What you need for success! Required Qualifications** + ** Certified Professional Coder with either AHIMA or AAPC certification** + Minimum ... Payment Integrity Professional 2 contributes to overall cost reduction by utilizing coding knowledge to identify/validate new code edit opportunities in a timely… more
    Humana (08/02/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    Datavant (Albany, NY)
    …you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 ... years HCC coding experience, while certified . + Full understanding...certified . + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease… more
    Datavant (08/01/25)
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  • Chargemaster Analyst II

    Intermountain Health (Albany, NY)
    …+ Current certification through AAPC , AHIMA or HFMA, or other specialty medical coding group. + Demonstrated experience in revenue cycle and chargemaster ... and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits including end of year CPT/HCPC changes and updates… more
    Intermountain Health (07/25/25)
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  • HCC Risk Adjustment Auditor - Full Time - Remote

    Datavant (Albany, NY)
    …or GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC) + A strong knowledge ... an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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  • Manager, Special Investigation

    CVS Health (Albany, NY)
    …Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC ( AAPC ) + Knowledge of Aetna's policies ... Qualifications** + Credentials such as a certification from the Association of Certified Fraud Examiners (CFE) or an accreditation from the National Health Care… more
    CVS Health (08/01/25)
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