• Health Care Disputes - Compliance Risk Adjustment,…

    Ankura (New York, NY)
    …need for employer sponsorship, now or at any time in the future. Preferred Qualifications: + Specific experience with RADV Audit responses including managing the ... knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work in California,… more
    Ankura (09/09/25)
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  • Manager, Coding Operations

    Datavant (Albany, NY)
    …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... relations skills. + Experience with Microsoft Office Suite (Word, Excel, Outlook) preferred . + Must be ambitious, accountable, flexible, mature, and always conduct… more
    Datavant (09/04/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains accuracy in ... Risk Adjustment coding, Medicaid CRG coding, and data validation requirements, preferred . * Strong written and verbal communication skills; strong analytical,… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …Degree or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, with experience in ... & IDX billing systems in a health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient, and/or outpatient charges with accurate… more
    Mount Sinai Health System (08/15/25)
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  • 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 ... in collaboration with department management. + Provide educational sessions to new and existing staff based on results of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding.… more
    Stony Brook University (08/12/25)
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  • Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    …coding in an acute care hospital. Validation and auditing experience preferred . ? Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. ? ... documentation of medical diagnoses or conditions that are clinically evident. Reviews coder queries to determine if the query is supported and generates query… more
    Mount Sinai Health System (07/17/25)
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