• Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …Certification, Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist ... with internet connectivity of high speed required **Job Summary** Clinical Appeals is responsible for making appropriate and correct...+ Certified Case Manager + Certified Professional Healthcare Management + Certified Professional… more
    Molina Healthcare (08/02/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical ... **JOB DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of...Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in… more
    Molina Healthcare (08/08/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (Buffalo, NY)
    …equivalent combination of education and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding ... + Experience with Risk Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified more
    Molina Healthcare (07/31/25)
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  • Coder - ER Level 1 ( Certified

    BronxCare Health System (Bronx, NY)
    Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal ... patient disposition upon patient's discharge. - Exhibits a high degree of accuracy. Coder sequences the diagnosis and procedures using ICD-10CM and CPT-4 codes in… more
    BronxCare Health System (06/09/25)
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  • Inpatient Coder - Remote

    WMCHealth (Kingston, NY)
    Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P) Certified Professional Coder (CPC), Certified Outpatient Coder ... Inpatient Coder - Remote Company: HealthAlliance Hospital City/State: Kingston,...- Remote Company: HealthAlliance Hospital City/State: Kingston, NY Category: Professional/Non- Clinical Department: Medical Records Union: No Position: Full Time… more
    WMCHealth (06/28/25)
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  • Senior Coder (Inpatient/Ambulatory)

    Northwell Health (Lake Success, NY)
    …more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCSP) ... 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and...or Certified Inpatient Coder (CIC) or Certified Outpatient … more
    Northwell Health (08/08/25)
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  • Director, Registered Nurse/ Certified Risk…

    Ankura (New York, NY)
    …well as pharmaceutical and medical device manufacturers. Responsibilities: + Applies clinical experience and acumen to client engagements + Knowledgeable with ... review findings + Prepares clear and concise analyses of clinical and revenue cycle data including that from payers...Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of specialties, settings, and… more
    Ankura (07/22/25)
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  • Medical Records Coder IV, Lead

    University of Rochester (Rochester, NY)
    …Information Technician) RHIT or Certified Coding Specialist (CCS) preferred + Certified Professional Coder (CPC) from American Academy of Professional Coders ... require a high level of expertise and knowledge of clinical coding, charge capture, charge entry, and systems. Investigates...(AAPC) or Certified Medical Coder (CMC) from Practice Management… more
    University of Rochester (08/07/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Albany, NY)
    …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… more
    Datavant (08/01/25)
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  • Outpatient Coder - PRN Same Day Surgery…

    Datavant (Albany, NY)
    …shape the future of healthcare from your own workspace! Preferred: Strong SDS/OBS coder with 3+years experience, Must have CPC, CCS or COC. Excellent communication ... responsibilities. + Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Function in a professional, efficient,… more
    Datavant (08/08/25)
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