• Compliance Auditing Specialist

    WMCHealth (Valhalla, NY)
    …Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s). Education: ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....activities. Monitors and reports key performance indicators relative to clinical documentation and HCC coding .… more
    WMCHealth (04/09/25)
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  • Revenue Integrity Charge Specialist Fully…

    Trinity Health (Syracuse, NY)
    …reviews; including but not limited to, appending modifiers and checking clinical documentation . Provides feedback to intra-departmental Revenue Integrity ... denial coordination with Patient Business Service (PBS) centers; including analysis of clinical documentation , assist in appeals as needed, root cause analysis… more
    Trinity Health (05/03/25)
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  • Revenue Integrity Charge Specialist Fully…

    Trinity Health (Syracuse, NY)
    …reviews; including but not limited to, appending modifiers and checking clinical documentation . Provides feedback to intra-departmental Revenue Integrity ... denial coordination with Patient Business Service (PBS) centers; including analysis of clinical documentation , assist in appeals as needed, root cause analysis… more
    Trinity Health (06/21/25)
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  • Billing Specialist - Senior **CPC Highly…

    Mount Sinai Health System (New York, NY)
    …Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation . 3. Compares and reviews charge tickets, both manually ... and system generated, to clinical documentation to ensure that all charges... clinical staff to identify and implement appropriate documentation and coding modifications. 9. Reviews and… more
    Mount Sinai Health System (06/12/25)
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  • Medical Billing Specialist

    Robert Half Accountemps (New York, NY)
    …Utilize ICD-10 coding standards to accurately code patient charts and clinical documentation . * Address and resolve backlogged claims, prioritizing timely ... Description We are looking for a skilled Medical Coding Specialist to join our team on a contract basis in New York, New York. In this role, you will play a… more
    Robert Half Accountemps (06/24/25)
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  • Insurance Specialist /DPA…

    Trinity Health (Syracuse, NY)
    …the clinical utilization reviews with the facilitiesPer Diem- Insurance Specialist to assist with authorizations for Substance abuse and Mental Health Service ... **Employment Type:** Full time **Shift:** Day Shift **Description:** + **Insurance Specialist - St. Josephs Health Syracuse NY** **Position Summary:** The Insurance … more
    Trinity Health (06/07/25)
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  • HIS Denials Specialist (Inpatient)

    Saratoga Hospital (Saratoga Springs, NY)
    …inpatient services from payers. This position provides a vital link between inpatient coding , clinical documentation improvement, Patient Access (PA) and ... general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement for HIS… more
    Saratoga Hospital (06/11/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Saratoga Springs, NY)
    …eligibility & coordination of benefit * Prepare and compile necessary documentation to secure prior authorization. Collect clinical information regarding ... team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in...Contact provider/payer to obtain prior authorization * Gather additional clinical and / or coding information as… more
    Glens Falls Hospital (04/02/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Glens Falls, NY)
    …insurance eligibility & coordination of benefit . Prepare and compile necessary documentation to secure prior authorization. . Collect clinical information ... team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in...Contact provider/payer to obtain prior authorization . Gather additional clinical and / or coding information as… more
    Glens Falls Hospital (04/02/25)
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  • Billing & Collections Specialist

    Ultimate Care Inc (Brooklyn, NY)
    …Reimbursement Review: Review Medicare reimbursement schedules and fee-for-service structures. + Documentation Compliance: Ensure that clinical documentation ... Brooklyn, NY is looking for a Billing & Collections Specialist to join our team! The Billing & Collections...outstanding balances and arrange payment plans when necessary. + Documentation : Maintain detailed records of all billing and payment… more
    Ultimate Care Inc (05/31/25)
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