• Medical Group Coder II - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality and ... applicable modifiers, review medical necessity, CCI and other internal and external coding edits. + Assign applicable ICD-10-CM diagnosis codes based on knowledge of… more
    Mohawk Valley Health System (07/16/25)
    - Related Jobs

  • Coder - ER Level 1 (Certified), Department of HIM

    BronxCare Health System (Bronx, NY)
    Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal ... and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify… more
    BronxCare Health System (06/09/25)
    - Related Jobs

  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Albany, NY)
    …Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical ... **JOB DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate… more
    Molina Healthcare (07/12/25)
    - Related Jobs

  • Regional MDS Coordinator (RN)

    Elderwood (Buffalo, NY)
    …/ Year Overview Regional MDS Coordinator (RN) - Join Our Clinical Reimbursement Leadership Team! Location: Elderwood Administrative Services - Supporting Elderwood ... an experienced and detail-oriented Regional MDS Coordinator to join our Corporate Clinical Reimbursement Team. This key role will provide direct support to the… more
    Elderwood (07/02/25)
    - Related Jobs

  • Coder Analyst Outpatient HIM MHB

    Catholic Health (Buffalo, NY)
    …record, utilizing International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and Current Procedure Terminology (CPT) classifications. ... or + Certification as an RHIA or RHIT. Certified Coding Specialist (CCS) is preferred. Would also consider an...an HIT or HIM program and candidate has completed coding , medical terminology, anatomy & physiology; + Certified Professional… more
    Catholic Health (06/24/25)
    - Related Jobs

  • Coder Analyst Outpatient Health Information

    Catholic Health (Buffalo, NY)
    …record, utilizing International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and Current Procedure Terminology (CPT) classifications. ... or + Certification as an RHIA or RHIT. Certified Coding Specialist (CCS) is preferred. Would also consider an...an HIT or HIM program and candidate has completed coding , medical terminology, anatomy & physiology; + Certified Professional… more
    Catholic Health (05/04/25)
    - Related Jobs

  • Product Manager, Risk Adjustment Analytics…

    Datavant (Albany, NY)
    …the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across ... and prospective use cases. + Identify opportunities to improve coding accuracy, efficiency, and transparency through advanced reporting, dashboards, and… more
    Datavant (06/06/25)
    - Related Jobs

  • Coder, Surgical Spine--REMOTE w/ sign-on bonus…

    Excelsior Orthopaedics Group (Amherst, NY)
    …by Excelsior Physicians for completeness and to abstract and code clinical data, using standard classification systems. Operates computer to process, store, ... services for hospital patients. + Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies.… more
    Excelsior Orthopaedics Group (06/11/25)
    - Related Jobs

  • Ancillary Coder HCS

    Catholic Health (Buffalo, NY)
    …report, utilizing International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) classifications. ... are required to take and successfully pass a CHS coding test + Certification as an RHIA or RHIT...in a HIT or HIM program and has completed coding , medical terminology, anatomy & physiology + Successful certification… more
    Catholic Health (05/30/25)
    - Related Jobs

  • Utilization Management Reviewer, RN (Commercial)

    Excellus BlueCross BlueShield (Rochester, NY)
    …Level I: + Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested ... and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits… more
    Excellus BlueCross BlueShield (06/25/25)
    - Related Jobs