• Manager Coding - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …Licensure/Certification Requirements REQUIRED: + CCS Certification (Certified Coding Specialist ), CIC Credential (Certified Inpatient Coder ), or CPC ... Manager Coding - Full Time - Days Department: CODING Job Summary The Manager Coding will manage and oversee a team of coders (inpatient and outpatient) to… more
    Mohawk Valley Health System (07/08/25)
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  • Director- Health Information Management (Medical…

    St. Mary's Healthcare (Amsterdam, NY)
    …+ Required Credential(s): One or more of the following: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management ... and residential healthcare facility. Responsibilities: + Ensure timely and accurate coding for all healthcare services perform at the organization to include… more
    St. Mary's Healthcare (07/05/25)
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  • Compliance Auditing Specialist

    WMCHealth (Valhalla, NY)
    Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support ... internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of… more
    WMCHealth (07/09/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... related to coding quality, compliance assessments, external payer reviews, ...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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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 ... Works closely with Providers to educate on improved documentation to support coding . As a mission-driven innovative health organization, we will become the national… more
    Trinity Health (08/02/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    …and REQUIRED CERTIFICATION, EDUCATION, LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + ... Specialist -Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding , Auditing and Education primary functions:** + Working and managing… more
    Trinity Health (07/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more
    Elevance Health (08/09/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + Recommend sound financial best practices that are ... + Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze and maintain… more
    WMCHealth (06/27/25)
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  • Revenue Cycle Supervisor

    Oak Orchard Health (Brockport, NY)
    …working with coding and billing, required. + Certified Medical Billing Specialist /Medical Coder highly preferred. Comprehensive Benefits: + Health / Dental ... within client assigned status buckets. Perform weekly audits to ensure proper billing/ coding on claims, provide reports to Chief Financial Officer and Leadership,… more
    Oak Orchard Health (07/16/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG,… more
    Molina Healthcare (08/02/25)
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