• Professional Coding Educator/…

    Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
    JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non- Exempt Hourly) LOCATION: 696 Dutchess Turnpike ... different locations within our network as needed. POSITION SUMMARY: The Professional Coding Educator/ Auditor provides educational and physician support for … more
    Premier Medical Group of the Hudson Valley (09/12/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Albany, NY)
    …With technical direction and assistance from management, designs and implements coder education program , continuing education programs and Medical Staff ... + Develops audit detail summary spreadsheets and reports to address any coding , documentation, financial impact and profitability. Conducts education /training or… more
    Highmark Health (09/20/25)
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  • Coding Auditor & Educator

    WelbeHealth (Albany, NY)
    …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue... Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree… more
    WelbeHealth (09/19/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Albany, NY)
    **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... regulatory guidelines + Complete reports as requested + Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding , billing and… more
    Cognizant (09/23/25)
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  • Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    …Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel ... needed analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training programs, including… more
    Centene Corporation (09/27/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
    CVS Health (09/27/25)
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  • (RN) HCS-D, COS-C - Registered Nurse Coding…

    Northwell Health (Westbury, NY)
    …RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group ... in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process....Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN… more
    Northwell Health (08/31/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …staff to ensure the accuracy and completeness of medical record documentation and coding . Provides training, education and coaching to providers and staff ... current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education . Assists with compliance audits and other… more
    WMCHealth (09/12/25)
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  • Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... of Professional Medical Conduct Office of Professional Medical Conduct/NYS Education Department, Office of Professional Discipline and/or internal referral for… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Pharmacy Revenue Integrity

    Albany Medical Center (Albany, NY)
    …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... resubmission for pharmaceutical charging. + Maintain a thorough understanding of 340B program regulations and compliance requirements, staying up to date on policy… more
    Albany Medical Center (08/14/25)
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