• Operations Reconciliation Analyst

    Nuvance Health (Poughkeepsie, NY)
    …Information:* . Bachelor's Degree or equivalent experience . Certified Professional Coder (CPC) preferred .Five (5) years relevant experience in hospital setting, ... relate to complete, timely, and accurate work products Certified Professional Coder (CPC) HFMA Certified Revenue Cycle Representative Certification (CRCR) or… more
    Nuvance Health (07/08/25)
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  • Clinical Denials and Appeals-Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …the following (or similar) credentials: Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case ... Manager (CCM) or any other certification approved by management + Certification in a Nationally Recognized Utilization Review Criteria set is preferred EXPERIENCE + Minimum of eight (8) years of experience working in an Acute Care Hospital Setting + Experience… more
    Catholic Health (10/01/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Yonkers, NY)
    …one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... Professional Healthcare Management + Certified Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina… more
    Molina Healthcare (09/26/25)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (Albany, NY)
    …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... and MA. + Expert knowledge of Risk Adjustment . + Research and problem resolution skills. + Exceptional interpersonal relationship skills. + Must possess strong managerial, financial, and analytical skills. + Consistent demonstration of commitment to quality,… more
    Datavant (09/25/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    …CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees without HIM/Medical Records degrees who have this ... certification, it must be maintained as a Kaleida requirement. **Experience** **Other information:** 1 year of experience in coding with ICD 10, PCS, CPT Coding and DRG/APC assignment in an acute care facility preferred. Prior experience with computerized… more
    Kaleida Health (09/25/25)
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  • Senior Analyst, Encounters

    Molina Healthcare (NY)
    …multiple organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina employees: If you are ... interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $141,371 /… more
    Molina Healthcare (09/24/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor ... (CHA) can be beneficial. Computer Skills MS Office Suite: Intermediate Work Environment ? Corporate office environment in an academic health system. Option to work remote or hybrid. , 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital **Responsibilities**… more
    Mount Sinai Health System (09/24/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Albany, NY)
    …of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment ... coding, with a focus on clinical documentation. + Technical proficiency, strong knowledge of coding languages within multiple EMRs with familiarity of coding standards and best practice. + Previous managerial experience or supervisory role with strong… more
    Evolent (09/23/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Rochester, NY)
    …be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a… more
    Molina Healthcare (09/20/25)
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  • Coding Specialist (Revenue Integrity Operations)

    Northwell Health (Westbury, NY)
    …combination of education and related experience. + Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized ... certifications as needed. + 1-3 years of relevant experience, required. Additional Salary Detail** The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this… more
    Northwell Health (09/20/25)
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