• Medical Claim Review Nurse ( RN )

    Molina Healthcare (Rochester, NY)
    …Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Clinical Denials and Appeals-…

    Catholic Health (Buffalo, NY)
    …finance, business management, operational analysis, information systems or related field + Registered Nurse with a four (4) year degree and Unrestricted ... role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is...NYS RN license, preferred + Holds, or will obtain within… more
    Catholic Health (10/01/25)
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  • Clinical Revenue Auditor-CDM Patient…

    Mount Sinai Health System (New York, NY)
    …at all levels throughout the organization. **License** ? Current NYS licensure ( Registered Nurse ( RN ), Occupational Therapist (OT), Physical Therapist ... **Job Description** ** Clinical Revenue Auditor-CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue… more
    Mount Sinai Health System (09/24/25)
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  • Inpatient Clinical & Coding Specialist…

    Independent Health (Buffalo, NY)
    …Minimum of one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), ... Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H,… more
    Independent Health (07/15/25)
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  • Risk Adjustment Coding Specialist (Remote in New…

    CDPHP (Latham, NY)
    …Specialist) or CPC/CPC-A (Certified Coding Professional) required. If CCA or RN /LPN licensure, successful completion of AHIMA CCS/CCS-P or AAPC CPC certification ... within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of experience in an HMO, Managed Care… more
    CDPHP (08/27/25)
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