• Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional ... credential(s). Education: Bachelor's Degree in related field Other: Remote/Hybridavailable Special Requirements: About Us: NorthEast Provider Solutions Inc. Benefits:… more
    WMCHealth (12/12/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Rochester, NY)
    … Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... and support to clinical peers. + Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. **Job… more
    Molina Healthcare (12/26/25)
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  • Senior Auditor, Delegation Oversight

    Molina Healthcare (Syracuse, NY)
    …Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare Management (CPHM) and/or other health care ... a team, support multiple projects at once, and perform other duties or special projects as required. * Ability to collaborate cross-functionally across a highly… more
    Molina Healthcare (12/17/25)
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  • Payment Integrity Clinician

    Highmark Health (Albany, NY)
    …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... SUMMARY** This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code… more
    Highmark Health (11/14/25)
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  • Surgical Anesthesia Compliance Auditor

    Northwell Health (Lake Success, NY)
    …In this pivotal role, you'll leverage your healthcare environment experience-whether as a Certified Professional Coder or similar professional -to audit ... in ancillary systems to resolve overlapping times and billing issues - Support special requests for case logs, documentation, and records for anesthesia services as… more
    Northwell Health (12/20/25)
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  • Population Health Specialist

    Saratoga Hospital (Saratoga Springs, NY)
    …years' professional experience will be considered in lieu of a degree. + Certified Coder Certificate and/or LPN certification and an RN (AS or BSN), ... in Healthcare Management or Data Analytics and 5 years' professional experience in a physician practice, data collection, data...reviewed on a rolling basis-apply today and discover what makes Saratoga Hospital a special place to grow your… more
    Saratoga Hospital (12/16/25)
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