• Coding Auditor

    UHS (Binghamton, NY)
    …- With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion ... guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a… more
    UHS (05/22/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support… more
    WMCHealth (04/09/25)
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  • Clinical Research Specialist-CCTO

    Weill Cornell Medical College (New York, NY)
    Title: Clinical Research Specialist-CCTO Location: Upper East Side Org Unit: BMT Work Days: Weekly Hours: 35.00 Exemption Status: Exempt Salary Range: $70,000.00 - ... Hired for NYC Offices **Position Summary** Under general direction, the Clinical Research Specialist is responsible for the administration, execution, and overall… more
    Weill Cornell Medical College (06/05/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring ... the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing...for ensuring that all services /disciplines in the Practice provide coordinated care and excellent communication with all disciplines… more
    CenterLight Health System (05/17/25)
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  • Case Manager, Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Rochester, NY)
    …drivers. Essential Accountabilities: Level I * Handles behavioral health member clinical management programs. * Maintains knowledge of current Case Management ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
    Excellus BlueCross BlueShield (05/31/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Rochester, NY)
    …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
    Excellus BlueCross BlueShield (05/29/25)
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  • Manager, Health Plan Quality Interventions - RN…

    Molina Healthcare (NY)
    provider outreach initiatives. + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with health ... and implements targeted interventions related to performance improvement, including member and provider outreach to improve care and service. + Serves as operations… more
    Molina Healthcare (04/25/25)
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  • Risk Adjustment Coding Specialist-Excellus Fully…

    Trinity Health (Syracuse, NY)
    …Specialist works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and MEAT ... condition validation. . Review of the patient population chronic and/or suspect condition(s) gaps and provide these gaps via OPA in the EHR to the PCP prior to their… more
    Trinity Health (05/29/25)
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  • Senior Engineer, IT Privacy Compliance Program…

    Cardinal Health (Albany, NY)
    …a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for health care facilities. We are a ... crucial link between the clinical and operational sides of care, working with more...+ Experience in analyzing data and creating reports/dashboards/views to provide visibility into risk and control landscape. + An… more
    Cardinal Health (05/23/25)
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  • Supervisory Supply Management Specialist- Chief…

    Veterans Affairs, Veterans Health Administration (Bronx, NY)
    …operations across the organization; Plans and coordinates fiscal, acquisition, clinical and administrative operations; Establishes, monitors and manages the ... as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade… more
    Veterans Affairs, Veterans Health Administration (06/04/25)
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