• Coding Educator

    Stony Brook University (Commack, NY)
    …education training for new employees. + Assess and provide feedback to each coder on their work performed. + Development of reinforcement training for existing staff ... claim corrections. + Special projects assignments related to coding. + Code , abstract and data entry of records. **Qualifications** **Required Qualifications:**… more
    Stony Brook University (08/12/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...+ Adhere to the American Health Information Management Association's code of ethics. + Must be customer-service focused and… more
    Datavant (07/29/25)
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  • Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    …and conventions to validate coded data and ensure high quality and compliance with regulatory requirements. The CRM works in conjunction with the Associate ... documentation in the medical record for documentation, integrity and accurate code assignment essential to support documentation of medical diagnoses or conditions… more
    Mount Sinai Health System (07/17/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical ... requires a unique blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations and collaborate with staff to resolve issues and… more
    Mount Sinai Health System (09/24/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Albany, NY)
    …Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and ... coding of claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices maintaining high standards and adherence… more
    Evolent (09/23/25)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (Albany, NY)
    …Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both ... vendors + Provides expertise as it relates to coding compliance for new and existing services, while ensuring ...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more
    Datavant (09/25/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (NY)
    …submission criteria, maintains submission schedule, central documentation of market nuances, compliance , and regulatory requirements for primary market or state + ... performance monitoring. + Understands provider, member, and, inbound claims data compliance in relation to encounters submission requirements + Monitors vendor… more
    Molina Healthcare (09/24/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Rochester, NY)
    …improvement activities. Responsible for overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers ... and cost-effective member care. This position will support our Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates… more
    Molina Healthcare (09/20/25)
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  • Coding Specialist (Revenue Integrity Operations)

    Northwell Health (Westbury, NY)
    …changes for governmental agencies and other payers; educates departments on coding and compliance issues. + Ensures revenue codes are in compliance with the ... combination of education and related experience. + Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized… more
    Northwell Health (09/20/25)
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  • Professional Coding Educator

    Catholic Health Services (Melville, NY)
    …perform, track, trend, and report on internal quality reviews based on compliance plan and/or independent data analysis. Develop action plans working directly with ... data to drive decisions. + Maintains current knowledge of coding, compliance and documentation guidelines and trends for assigned departments/specialties. POSITION… more
    Catholic Health Services (07/31/25)
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