• Manager, Appeals & Grievances

    Molina Healthcare (Rochester, NY)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss,… more
    Molina Healthcare (11/13/25)
    - Related Jobs
  • Specialist, Appeals & Grievances

    Molina Healthcare (Rochester, NY)
    …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/09/25)
    - Related Jobs
  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional… more
    Molina Healthcare (11/14/25)
    - Related Jobs
  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …Technologist and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...Certified Coding Specialist (CCS), or Certified Healthcare Auditor (CHA) can be beneficial. **Computer Skills:**… more
    Mount Sinai Health System (09/24/25)
    - Related Jobs
  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Albany, NY)
    …software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ...(CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current… more
    Molina Healthcare (11/13/25)
    - Related Jobs
  • Coding Team Lead, HCC Risk Adjustment Coding…

    Datavant (Albany, NY)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified more
    Datavant (11/07/25)
    - Related Jobs
  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, with experience ... methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding and provide...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
    Mount Sinai Health System (11/14/25)
    - Related Jobs
  • Compliance Analyst II, Urmc and Affiliates

    University of Rochester (Rochester, NY)
    …( **RHIA** ), + Certified Coding Specialist ( **CCS** or **CCS-P** ), + Certified Professional Coder ( **CPC** ), Certified Outpatient Coder ( ... engaging in professional associations, networking with peers at other academic medical centers, reviewing relevant literature, and participating in industry seminars… more
    University of Rochester (10/03/25)
    - Related Jobs
  • Medical Billing and coding Instructor…

    Ideal Home Care (Islandia, NY)
    …+ Certification Preparation: Prepare students for certification exams such as the CPC ( Certified Professional Coder ), CCA ( Certified Coding Associate), and ... Position Overview: We are seeking an experienced and dedicated Medical Billing and Coding Instructor to join our academic...education and training to students in the field of medical billing and coding. This role involves preparing students… more
    Ideal Home Care (10/24/25)
    - Related Jobs
  • Professional Coding Educator/Auditor

    Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
    …setting, with 2 years experience in auditor role. Certified Professional Coder (AAPC, AHIMA)- Required Certified Medical Auditor Certification ... Education SHIFT/CORE HOURS: Monday-Friday 8:30AM-5:00PM Exciting Careers Await at Premier Medical Group! Who We Are We are a physician-owned, multi-specialty … more
    Premier Medical Group of the Hudson Valley (09/12/25)
    - Related Jobs