• 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 + ... A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits… 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 CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital ...DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge… more
    Elevance Health (08/09/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …+ 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC) or equivalent credential required + ... seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the … more
    Mount Sinai Health System (06/07/25)
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  • Operations Reconciliation Analyst

    Nuvance Health (Poughkeepsie, NY)
    …7. Works closely with Patient Accounting to ensure all billing edits and coding edits are corrected within Revenue Cycle, where applicable 8. Works with ... Coding Departments, Registration areas and Information Technology Services to.... Bachelor's Degree or equivalent experience . Certified Professional Coder (CPC) preferred .Five (5) years relevant experience in… more
    Nuvance Health (07/08/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …& third party payors. + Develop, Implement and coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + ... in healthcare preferred, Bachelor's, preferred. Licenses / Certifications: Certified Professional Coder (CPC) or Certified Professional Coder - Hospital more
    WMCHealth (06/27/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG, ... Nursing **Preferred Experience** 5+ years Clinical Nursing experience, including hospital acute care/medical experience. **Preferred License, Certification, Association** Any… more
    Molina Healthcare (08/02/25)
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