- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure ... and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical… more
- Molina Healthcare (NY)
- …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred To all current… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …related experience in a healthcare setting, with 2 years experience in auditor role. Certified Professional Coder (AAPC, AHIMA)- Required Certified ... JOB TITLE: Professional Coding Educator/Auditor DEPARTMENT: Billing Department STATUS: Full...predictable attendance. + May be asked to assist with special projects. + Maintain and model Premier Medical Groups… more
- University of Rochester (Rochester, NY)
- …( **RHIA** ), + Certified Coding Specialist ( **CCS** or **CCS-P** ), + Certified Professional Coder ( **CPC** ), Certified Outpatient Coder ... ( **COC** ), or equivalent professional certification. + Certified in Healthcare Compliance ( **CHC** ) **2. Compliance Specialist** + **Minimum Education** -… more
- 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
- Molina Healthcare (Buffalo, 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. **REQUIRED… more
- Independent Health (Buffalo, NY)
- …standard claims edits and correct coding requirements required. + Current certification of Certified Professional Coder , American Academy of Professional ... to management to assist in corporate objectives as they relate to professional reimbursement. **Qualifications** + High school diploma or GED required. Associates… more
- WMCHealth (Valhalla, NY)
- …Associate's Degree preferred or two years' work experience. Licenses / Certifications: Certified Professional Coder (CPC) or similar credential, preferred. ... information on status of audits and issues presented. + Works on special projects as required. + Participates in required regulatory change implementations and… more
- 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
- FlexStaff (Chappaqua, 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