• Specialist , Configuration Oversight

    Molina Healthcare (NY)
    …auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system ... and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing errors… more
    Molina Healthcare (07/18/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    … Specialist -Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding , Auditing and Education primary functions:** + Working and ... our provider group. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Risk adjustment coding , provider auditing and clinical/education experience required. Must… more
    Trinity Health (07/18/25)
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  • Senior Hospital Coder

    Albany Medical Center (Albany, NY)
    …of America) Salary Range: $60,367.47 - $90,551.20 The Outpatient Senior Medical Coding Specialist (Emergency Department) will be responsible for performing ... person will also be responsible for assisting in onboarding new staff.The Senior Medical Coding Specialist will be responsible for performing coding quality… more
    Albany Medical Center (04/30/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the ... 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 (07/17/25)
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  • Clinical Documentation Improvement Manager - Mount…

    Mount Sinai Health System (New York, NY)
    …process. *Relevant AAPC, AHIMA or ACDIS certification required ie CCS (Certified Coding Specialist ), CPC (Certified Coding Professional), CIC (Certified ... AAPC, AHIMA or ACDIS certification required ie CCS (Certified Coding Specialist ), CPC (Certified Coding ...CDQI staff questions. Along with Analytics, develops mechanisms for auditing quality of CDQI queries on an ongoing basis.… more
    Mount Sinai Health System (06/24/25)
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  • Senior Hospital Coder

    Albany Medical Center (Albany, NY)
    …morning huddle one week each quarter in a 12-month calendar year. + Communicates to Coding Support Specialist on topics for monthly meetings. + Research new ... - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and random, on staff and providing thorough education… more
    Albany Medical Center (04/23/25)
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