• Claims Analyst

    CenterLight Health System (NY)
    …drive process improvements to achieve measurable outcomes and operational efficiency. + Support stakeholders in claims appeals: review and track claims appeals and ... Weekly Hours: 40 QUALIFICATIONS: Education: Bachelor's degree required. Certified Professional Coder a plus. Experience: + 3-5 years of healthcare experience,… more
    CenterLight Health System (04/26/25)
    - Related Jobs
  • Registered Nurse Clinical Denials & Appeals…

    Catholic Health (Buffalo, NY)
    …denied due to reasons including, but not limited to clinical documentation/ support for diagnostic related grouping (DRG) assignment, inpatient and outpatient medical ... the following (or similar) credentials: Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case… more
    Catholic Health (04/23/25)
    - Related Jobs
  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …plan such as Utilization Review, Medical Claims Review, Long Term Service and Support , or other specific program experience as needed or equivalent experience (such ... one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
    Molina Healthcare (04/20/25)
    - Related Jobs
  • Inpatient Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    …and audit tips across the team. The Clinical & Coding Specialist-Senior will support the leadership in Hospital Audit in accomplishing all aspects of the audit ... one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health… more
    Independent Health (04/15/25)
    - Related Jobs
  • Surgical Technologist - Cert

    Northwell Health (Staten Island, NY)
    …operative field under the direct supervision of the attending physician. 21. May support an extremity to improve visualization of the surgical site under the direct ... Current certification in Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator (RHIA) OR Registered… more
    Northwell Health (04/08/25)
    - Related Jobs
  • Risk Adjustment Coding Specialist (Remote in New…

    CDPHP (Albany, NY)
    …within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of experience in an HMO, ... and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC. more
    CDPHP (04/07/25)
    - Related Jobs
  • Revenue Integrity Coordinator- ONSITE

    WMCHealth (Valhalla, NY)
    …NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Revenue Integrity Union: No Position: Full Time ... or two years' work experience. Licenses / Certifications: Certified Professional Coder (CPC) or similar credential, preferred. Other: Familiarity with medical record… more
    WMCHealth (03/20/25)
    - Related Jobs
  • School Based Health Social Worker - LMHC, LMSW,…

    Bassett Healthcare (Cherry Valley, NY)
    …referrals for medication evaluations, inpatient psychiatric hospitalizations, and community support services as required Maintains ongoing patient records, documents ... in accordance with department standards for billing of services Provides coder /analyst with timely, accurate, and adequate billing information following each patient… more
    Bassett Healthcare (02/25/25)
    - Related Jobs
  • Lead Engineer (Tableau) - Vice President - Tampa…

    Citigroup (New York, NY)
    …automated processes for large scale data analysis and create metrics to support business strategies and Citi's regulatory commitments. Interpret complex data sets ... engineering excellence skills with years of development experience. Applicable experience as a coder in large systems and experience working at scale with On Prem… more
    Citigroup (02/12/25)
    - Related Jobs