• Revenue Integrity Specialist

    Catholic Health Services (Melville, NY)
    …compliant charge capture and completing documentation that allows for more accurate coding . Provides updates and education to clinical specialty areas on ... area assigned. Responsible for educating and working with the specialty area clinical departments on compliant charging in relation to the Epic dynamic CDM,… more
    Catholic Health Services (05/07/25)
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  • Investigator, SIU RN

    Molina Healthcare (Albany, NY)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... information to make medical determinations as necessary, and applies clinical knowledge to assess the medical necessity, level of...responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain … more
    Molina Healthcare (04/20/25)
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  • Coder

    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 (04/29/25)
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  • Coder Analyst Inpatient Health Information

    Catholic Health (Buffalo, NY)
    …the purpose of accurate reimbursement, research and compliance with federal regulations. Coding of Ambulatory, ER / Urgent Care, Interventional Radiology and same ... medical record, utilizing International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) classifications.… more
    Catholic Health (03/23/25)
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  • 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 (03/11/25)
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  • Outpatient Coder

    WMCHealth (Warwick, NY)
    …Coder Company: Good Samaritan Hospital City/State: Warwick, NY Category: Professional/Non- Clinical Department: Health Information Management Union: NO Position: Part ... link Internal Applicant link Job Details: The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in… more
    WMCHealth (04/03/25)
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  • 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)
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  • 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 (03/08/25)
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  • Utilization Management Reviewer I/II/III - RN,…

    Excellus BlueCross BlueShield (Utica, 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 (05/02/25)
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  • Clin Doc Specialist

    Albany Medical Center (Albany, NY)
    Department/Unit: Clinical Documentation Improvement Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 This is a Hybrid position so ... must reside in New York State. Utilizes clinical expertise to assess clinical documentation concurrently...Certification such as CDIP or CCDS preferred + Valid Coding certification such as CCA or CCS preferred +… more
    Albany Medical Center (04/30/25)
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