• Medical Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …Office suite and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit ... Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or… more
    Molina Healthcare (10/18/25)
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  • Associate Specialist, Appeals & Grievances

    Molina Healthcare (NY)
    …setting experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current Molina ... employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range:… more
    Molina Healthcare (11/15/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Albany, NY)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 -… more
    Molina Healthcare (11/15/25)
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  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …Associates Degree or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, ... with experience in EPIC & IDX billing systems in a health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance… more
    Mount Sinai Health System (11/14/25)
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  • Manager, Appeals & Grievances

    Molina Healthcare (Rochester, NY)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 -… more
    Molina Healthcare (11/13/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Rochester, NY)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 -… more
    Molina Healthcare (11/09/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), ... or Certified Healthcare Auditor (CHA) can be beneficial. **Computer Skills:** + MS Office Suite (Intermediate) , 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital **Responsibilities** + Conduct thorough charge capture/clinical audits to assess the… more
    Mount Sinai Health System (09/24/25)
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  • HC Quality Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …required. + Registered Nurse with current New York State License or Certified Professional Coder certification required. + Bachelor's degree in relevant ... + Demonstrates experience working with providers, vendors, external regulators and Certified NCQA auditors. + Recognized as a HEDIS/QARR/QRS subject matter expert.… more
    Excellus BlueCross BlueShield (11/11/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    …Records, CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees without HIM/Medical Records ... position and it must be maintained as a Kaleida requirement. Certified Coding Specialist (CCS)-grandfathered employees without HIM/Medical Record degrees who have… more
    Kaleida Health (11/07/25)
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  • Coding Specialist - Orthopedics Team - Remote - FT

    Trinity Health (Albany, NY)
    …and experience is required. + Certified Coding Specialist (CCS) or Certified Procedural Coder (CPC) is required. + Current experience utilizing ... encoding/grouping software is preferred. Ability to utilize both manual and automated versions of the ICD and CPT coding classification systems is preferred. + Ability to use a standard desktop and windows-based computer system, including a basic understanding… more
    Trinity Health (11/05/25)
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