• Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …accounts to ensure accurate and complete charge capture and accurate, timely billing . The incumbent establishes and maintains a library of rule, regulations, ... with clinical & third party payors. + Develop, Implement and coordinate billing practices between hospital and physician groups to ensure uniform coding and… more
    WMCHealth (06/27/25)
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  • Operations Reconciliation Analyst

    Nuvance Health (Poughkeepsie, NY)
    …edits 2. Serve as a subject matter expert related to charging and billing issues, and assists in developing and maintaining related policies, procedures, and work ... Provides guidance, communication and education regarding correct charge capture and billing processes to multiple clinical departments and facilities 5. Supports… more
    Nuvance Health (07/08/25)
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  • Supervisor, Medical Coding

    University of Rochester (Albany, NY)
    …issues within team, revenue cycle or stakeholders handling charging and billing related issues. May perform other duties as assigned. **Background Expectations:** ... or + CCS-Certified Coding Specialist upon hire required or + Certified Professional Coder (CPC) from American Academy of Professional Coders upon hire required or +… more
    University of Rochester (08/07/25)
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  • Professional Coding Educator/Auditor

    Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
    JOB TITLE: Professional Coding Educator/Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non- Exempt Hourly) LOCATION: 696 Dutchess Turnpike Poughkeepsie NY ... Educator/Auditor provides educational and physician support for coding and billing practices, performs annual provider audits, and provides continuing education… more
    Premier Medical Group of the Hudson Valley (06/13/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential required + Proficient in CPT, HCPCS, ... revenue codes, and Medicare billing regulations. + Advanced proficiency in Epic, especially in...and related tools. + Epic certification in Charging or Billing is highly desirable. + Experience with Meditech and… more
    Mount Sinai Health System (06/07/25)
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  • Professional Coding Educator

    Catholic Health Services (Melville, NY)
    …resulting in effective auditing and education to assigned services/departments, coding and billing teams. It also requires a broad exposure and knowledge of the ... Minimum Education Requirements Associate's Degree with 5 years of coding or coding/ billing experience in a professional billing setting or High School… more
    Catholic Health Services (07/31/25)
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  • Revenue Integrity Charge Specialist Fully Remote

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote. May include every 5th weekend rotation **POSITION PURPOSE** Responsible for ... ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed… more
    Trinity Health (08/02/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (08/09/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical ... an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues.… more
    Molina Healthcare (08/08/25)
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  • Nurse Audit Manager

    Humana (Albany, NY)
    …clinical and coding experience to conduct reviews of provider codes and billing . + Decisions are typically related to resources, approach, and tactical operations ... knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is complete and accurate. + Certified Professional … more
    Humana (08/13/25)
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