• 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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  • RN MDS Supervisor- Clinical Reimbursement…

    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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  • Revenue Cycle Manager - RI

    Bassett Healthcare (Cooperstown, NY)
    …improvement, will help facilitate best practice models, including charge capture, coding utilization and denial avoidance. + Responsible for supporting the daily ... revenue recovery throughout the organization by identifying charge capture, coding , andreimbursement problems, then recommending/implementing solutions to achieve AO… more
    Bassett Healthcare (11/13/25)
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  • Coordinator, Collections

    Cardinal Health (Albany, NY)
    …to resolve claim discrepancies. + Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines. + Ensure compliance with HIPAA ... and all relevant federal/state billing regulations. + Flag trends or recurring issues for team leads or supervisors. + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects, audits, or other… more
    Cardinal Health (11/11/25)
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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 (10/25/25)
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  • Regulatory Document Delivery Analyst I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …and display in all electronic mediums employed by the enterprise. The incumbent ensures compliance with federal and state regulations and BCBSA in delivery of key ... compliance documents including, but not limited to, Subscriber Contracts,...contract updates. Essential Accountabilities: Level I + Responsible for coding and maintenance of the document production system. Configures… more
    Excellus BlueCross BlueShield (10/08/25)
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  • Code Edit Disputes Medical Coder

    Humana (Albany, NY)
    …a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (11/14/25)
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  • Medical Coder - Inpatient Hospital - ICD 10 CM/PCS…

    Cognizant (Albany, NY)
    …on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation ... query process. + Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. + Maintain a minimum… more
    Cognizant (10/28/25)
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  • Authorization Specialist Ortho/Spine Office

    Trinity Health (Syracuse, NY)
    …analyzes, and interprets complex medical information, applying specific knowledge of coding requirements and conventions to correctly classify, code and abstract ... denial processes. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified Coding Specialist, Accredited Record Technician (or eligible), Registered Record… more
    Trinity Health (10/21/25)
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  • Director, Clinical Documentation Improvement…

    Rochester Regional Health (Rochester, NY)
    …+ Responsible for CDI operations ensuring timeliness, accuracy, completeness, consistency, compliance and standards fulfillment as defined in RRH and HIM policies, ... educational classes. + Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures CDI staffs are appropriately educated. +… more
    Rochester Regional Health (10/04/25)
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