• Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, ... necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical… more
    Molina Healthcare (08/08/25)
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  • Professional Coding Educator

    Catholic Health Services (Melville, NY)
    …Clinical credentials welcome but not required Required Certifications/Registrations/Licenses CPC - Certified Professional Coder or CCS-P or RHIT/RHIA MINIMUM ... resulting in effective auditing and education to assigned services/departments, coding and billing teams. It also requires a broad exposure and knowledge of the… more
    Catholic Health Services (07/31/25)
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  • Diagnosis Related Group Clinical Validation…

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

    Weill Cornell Medical College (New York, NY)
    …questions. + Must be able to multi-task **Licenses and Certifications** + Certified coder (CPC, CCS-P) **Working Conditions/Physical Demands** Standard office ... related to coding. + Enters charges into the practice management billing system, ensuring to meet productivity and quality-based departmental benchmarks. Performs… more
    Weill Cornell Medical College (08/08/25)
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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… more
    Trinity Health (08/02/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Albany, NY)
    …more compassionate. And we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within ... focus on meeting state, federal, and company requirements while identifying concerning billing patterns or trends. **Responsibilities:** + Lead and mentor a team of… more
    CVS Health (08/08/25)
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  • Senior Coding Educator

    Humana (Albany, NY)
    …Qualifications** + High school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder ) certification + 2 years or more experience with ... education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related processes + Proficient in Microsoft Word, Excel,… more
    Humana (08/08/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... Partners' confidentiality requirements as they relate to patient information. What a Certified Risk Adjustment Coding Specialist will do: . Review and assigns… more
    Trinity Health (07/31/25)
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