• Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    … Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates...Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical… more
    Elevance Health (08/09/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …an accredited program, degree in healthcare preferred, Bachelor's, preferred. Licenses / Certifications: Certified Professional Coder ( CPC ) or Certified ... appealed in a timely manner. Coordinating appeal discussions with clinical & third party payors. + Develop, Implement and...pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on… more
    WMCHealth (06/27/25)
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  • Operations Reconciliation Analyst

    Nuvance Health (Poughkeepsie, NY)
    …BACHELOR'S LVL DGRE *Other Information:* . Bachelor's Degree or equivalent experience . Certified Professional Coder ( CPC ) preferred .Five (5) years relevant ... employees and how those expectations relate to complete, timely, and accurate work products Certified Professional Coder ( CPC ) HFMA Certified Revenue… more
    Nuvance Health (07/08/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder ( CPC ), Certified Outpatient ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
    Highmark Health (08/08/25)
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  • Coding Auditor

    Kaleida Health (Buffalo, NY)
    …in Health Information Technology or Medical Record Technology. Preferred certifications/licensure: ( CPC -CEMC) Certified Professional Coder - Certified ... & Management Coder . (RHIT) Reg Health Info Tech. (CDEO) Certified Documentation Expert Outpatient. (RHIA) Reg Health Info Admin. **Experience** **Requires 2… more
    Kaleida Health (07/10/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …history/on the job experience equal to approximately 1-2 years for CPC . + CPC ( Certified Professional Coder ) or CCS-P ( Certified Coding ... purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… more
    CVS Health (08/09/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification ( CPC ), Certified Professional Medical ... Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s). Education: Bachelor's Degree in related field Other: Remote/Hybridavailable… more
    WMCHealth (07/09/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Albany, NY)
    …Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder ( CPC ) + Certified Coding Specialist (CCS) ... financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and… more
    Evolent (07/18/25)
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  • Coding and Billing Specialist, Surgery Center

    Excelsior Orthopaedics Group (Amherst, NY)
    …and Qualifications + High School diploma or GED required; Associate degree preferred. + Certified Professional Coder ( CPC ), Certified Coding Specialist ... your preference.** Job Summary We are seeking a detail-oriented and experienced Medical Coder /Biller to join our Ambulatory Surgery Center (ASC) team. This role is… more
    Excelsior Orthopaedics Group (07/22/25)
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  • Manager Coding - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …Requirements REQUIRED: + CCS Certification ( Certified Coding Specialist), CIC Credential ( Certified Inpatient Coder ), or CPC Credential ( Certified ... improve Severity of Illness and Risk of Mortality. + Collaborate with Clinical Documentation Improvement (CDI) teams to optimize reimbursement and quality measures.… more
    Mohawk Valley Health System (07/08/25)
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