• Claims Specialist -temp to perm - FlexStaff

    FlexStaff (Bronx, NY)
    **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and community-based ... healthcare and services for the elderly. The Claims Specialist will support department operations related to provider communication, pended claim review, reporting,… more
    FlexStaff (05/14/25)
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  • Claims Specialist Hybrid- FlexStaff (Temp)

    FlexStaff (Bronx, NY)
    **Req Number** 154447 FlexStaff is seeking a Claims Specialist to support department operations related to provider communication, pending claim review, reporting, ... Attends JOC meetings with providers as appropriate to assist in communicating proper billing procedures and to explain company coverage guidelines + Assists TPA with… more
    FlexStaff (05/14/25)
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  • Revenue Integrity Charge Specialist Fully…

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote. May include every 5th weekend rotation **POSITION PURPOSE** Responsible for ... ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services performed… more
    Trinity Health (06/21/25)
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  • Claims Specialist

    Actalent (Bronx, NY)
    Immediately Hiring a Claims Specialist ! The Claims Specialist will support department operations related to provider communication, pended claim review, ... conditions. Skills & Qualifications: + Claims processing and analysis. + Medical billing and claims handling. + Proficiency in Microsoft Office Suite. + Experience… more
    Actalent (06/14/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
    Highmark Health (05/09/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …accounts to ensure accurate and complete charge capture and accurate, timely billing . The incumbent establishes and maintains a library of rule, regulations, ... with clinical & third party payors. + Develop, Implement and coordinate billing practices between hospital and physician groups to ensure uniform coding and… more
    WMCHealth (06/27/25)
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  • Supervisor, Medical Coding

    University of Rochester (Albany, NY)
    …+ CCS-Certified Coding Specialist upon hire required or + Certified Professional Coder (CPC) from American Academy of Professional Coders upon hire required or + ... assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert...within team, revenue cycle or stakeholders handling charging and billing related issues. May perform other duties as assigned.… more
    University of Rochester (06/20/25)
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  • Supervisor Coding Auditor & Educator - Full Time…

    Mohawk Valley Health System (Utica, NY)
    …train diverse audiences. Licensure/Certification Requirements REQUIRED: + CPC (Certified Professional Coder ), or CCS (Certified Coding Specialist ), or equivalent ... compliance with regulatory and payer requirements. + Work with billing , compliance and revenue cycle teams to ensure proper...experience. + 2 years of experience as a medical coder , with at least 1 year in a coding… more
    Mohawk Valley Health System (05/10/25)
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  • Manager, DRG Coding & Validation (RN) Remote

    Molina Healthcare (NY)
    …Association** Active and unrestricted Registered Nurse (RN) license and Certified Coding Specialist (CCS), (CIC), Certified Professional Coder (CPC) License in ... MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, medical… more
    Molina Healthcare (06/14/25)
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