• Senior Analyst, Encounters

    Molina Healthcare (NY)
    …GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 5-7 years of experience in billing , claims, encounters, and data analysis + 5 years or more of managed ... multiple organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina employees: If you are… more
    Molina Healthcare (09/24/25)
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  • Coding Specialist (Revenue Integrity Operations)

    Northwell Health (Westbury, NY)
    …+ Adheres to regulations and maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. ... combination of education and related experience. + Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized… more
    Northwell Health (09/20/25)
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  • Supervisor Facility Coding

    UHS (Binghamton, NY)
    …+ Prioritize and coordinate workloads to meet established coding turnaround and billing deadlines, balancing staff capacity and daily volume fluctuations. + Provide ... development aligned with current coding standards. + Establish and monitor coder productivity and quality benchmarks; conduct monthly reviews and provide regular,… more
    UHS (09/19/25)
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  • Risk Adjustment Coding Specialist (Remote in New…

    CDPHP (Latham, NY)
    …within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of experience in an HMO, ... + Chronic Conditions knowledge preferred. + Experience in claims adjudication, billing and enrollment systems, product or pricing is preferred. + Experience… more
    CDPHP (08/27/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains accuracy in ... conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care reimbursement systems. * Comprehensive… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    …guidelines. Validates the accuracy and appropriateness of the DRG assignments flagged pre- billing . Determines if a secondary review is required to verify assignment ... documentation of medical diagnoses or conditions that are clinically evident. Reviews coder queries to determine if the query is supported and generates query… more
    Mount Sinai Health System (07/17/25)
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