• Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case ... contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Supervisor, Operations - Neurology

    Northwell Health (Staten Island, NY)
    …Corporate Compliance Program, HIPAA and other regulatory standards; ensures compliance related to billing, coding , and documentation standards; executes the ... key functions are handled in an accurate and timely manner); ensures strict compliance with internal controls for cash management. + Engages workforce to obtain high… more
    Northwell Health (09/23/25)
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  • Application Developer Analyst 1-5 (TCU…

    MTA (Jamaica, NY)
    …and, to develop the technical specification and necessary documentation in compliance with MTA procedures. Responsibilities: Level 1 + Code, configure and ... in a timely manner. + Assist less experienced software developers/analysts in solving coding and technical issues related to MTA software. Level 4 Same as Level… more
    MTA (09/20/25)
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  • Coder - ER Level 1 (Certified), Department of HIM

    BronxCare Health System (Bronx, NY)
    …CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance . Under the direction of the director of Health Information Management, ... and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify… more
    BronxCare Health System (09/08/25)
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  • Coder Analyst Outpatient Health Information

    Catholic Health (Buffalo, NY)
    …Local Surgery records for the purpose of accurate reimbursement, research and compliance with federal regulations. Diagnoses and procedures are coded through review ... or + Certification as an RHIA or RHIT. Certified Coding Specialist (CCS) is preferred. Would also consider an...an HIT or HIM program and candidate has completed coding , medical terminology, anatomy & physiology; + Certified Professional… more
    Catholic Health (09/28/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (Syracuse, NY)
    …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
    Molina Healthcare (09/22/25)
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  • MDS Supervisor- Clinical Reimbursement & Quality…

    Catholic Health Services (Smithtown, NY)
    …while simultaneously improving the quality of care and ensuring compliance with regulatory standards. Key Responsibilities: Clinical Reimbursement: + Documentation: ... purposes, including Minimum Data Set (MDS) assessments and other relevant documentation. + Coding and Billing: Assist in the accurate coding and billing of… more
    Catholic Health Services (09/24/25)
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  • Denials Prevention Specialist PRN

    Datavant (Albany, NY)
    …denials across the entire revenue cycle to ensure optimal reimbursement and compliance with payer regulations. This role requires in-depth knowledge of healthcare ... revenue cycle processes, HIM coding practices, and proficiency in multiple electronic systems and...tools. The specialist serves as a key liaison between coding , billing, utilization review, case management, and payer relations… more
    Datavant (09/30/25)
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  • FT Assistant Meat Market Seafood Sales Manager

    Hannaford (Ballston Lake, NY)
    …merchandising techniques and layouts consistent with company standards. * Maintain department compliance with pricing and coding policy. * Work within our ... company's management planning (MPP) guidelines to maintain productivity. * Support company safety standards. Communicate any needed equipment repairs or maintenance work needed. Keep work area free from debris and safety hazards. * Develop product knowledge in… more
    Hannaford (09/23/25)
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  • Accounts Payable Clerk

    Robert Half Finance & Accounting (Elmira, NY)
    …life balance. Responsibilities will include: * Process vendor invoices by reviewing, coding , and ensuring their accuracy and compliance with company policies. ... * Match invoices with purchase orders and receiving documentation to verify transactions. * Secure necessary approvals for invoices that do not have purchase orders. * Organize and execute weekly payment runs, including checks and electronic transfers. *… more
    Robert Half Finance & Accounting (09/17/25)
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