• Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …preferred, Bachelor's, preferred. Licenses / Certifications: Certified Professional Coder ( CPC ) or Certified Professional Coder-Hospital ( CPC -H), preferred. ... Other: Familiarity with medical record documentation standards and practices, health care insurance billing issues, and federal and state billing compliance issues for hospitals; knowledge of CPT-4 codes and ICD-9-CM codes is preferred. Special Requirements:… more
    WMCHealth (06/27/25)
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  • Physician Anc Svcs Coder

    Kaleida Health (Buffalo, NY)
    …cross coverage. **Education And Credentials** **Responsibilities:** RHIA, RHIT, CCS, or CPC / CPC -H Certification in approved coding program required with ... successful completion of the Kaleida Outpatient Coding and medical terminology assessment. Successful completion of the Basic Computer Skills assessment. **Experience** **Other information:** Knowledge of physician billing requirements and documentation… more
    Kaleida Health (06/19/25)
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  • Senior Billing Specialist-Obstetrics…

    Mount Sinai Health System (New York, NY)
    …Associates Degree or high school diploma/GED plus 3 years of relevant experience + CPC Preferred + Training in computerized medical billing + 3 years experience in ... health care or insurance environment, and familiarity with ICD/CPT coding. + CPC Preferred Non-Bargaining Unit, ARB - Obstetrics And Gynecology Administration - BI,… more
    Mount Sinai Health System (06/04/25)
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  • Manager, Fraud and Waste

    Humana (Albany, NY)
    …**Preferred Qualifications** + Certifications (BA, MBA, JD, MSN, Clinical Certifications, CPC , CCS, CFE, AHFI) + Understanding of healthcare industry, claims ... processing and internal investigative process development + Experience in a corporate environment and understanding of business operations **Additional Information - How we Value You** + Benefits starting day 1 of employment + Competitive 401k match + Generous… more
    Humana (08/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. + ... Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems,… more
    Elevance Health (08/09/25)
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  • Med Records Coder III, Complex

    University of Rochester (Albany, NY)
    …or Certified Coding Specialist (CCS) preferred or + Certified Professional Coder ( CPC ) from American Academy of Professional Coders (AAPC) or Certified Medical Coder ... (CMC) from Practice Management Institute preferred The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World… more
    University of Rochester (08/09/25)
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  • Procedural Billing Specialist I - Surgery

    Mount Sinai Health System (New York, NY)
    …environment, and strong familiarity with ICD/CPT coding + Licensing: None but CPC strongly preferred (required in Oncology) Non-Bargaining Unit, 862 - Surgery - ... ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews physician coding and provides updates. + Provides comprehensive financial counseling to patients. Responsible… more
    Mount Sinai Health System (08/08/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Albany, NY)
    …Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of Behavioral Health policies and ... procedures is a plus. + Experience reviewing Behavioral Health fraud cases. + Understanding of clinical issues related to healthcare. + Strong communication and customer service skills. + Ability to effectively interact with diverse groups of people at various… more
    CVS Health (08/08/25)
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  • Coder III - OP Physician Coding

    Baylor Scott & White Health (Albany, NY)
    …CV Coder (CIRCC) + Cert Outpatient Coder (COC) + Cert Professional Coder ( CPC ) + Reg Health Info Administrator (RHIA) + Reg Health Information Technic (RHIT) ... As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use… more
    Baylor Scott & White Health (08/08/25)
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  • Senior Coder (Inpatient/Ambulatory)

    Northwell Health (Lake Success, NY)
    …required: Certified Coding Specialist (CCS) or Certified Professional Coder ( CPC ) or Certified Coding Specialist-Physician (CCSP) or Certified Inpatient Coder ... (CIC) or Certified Outpatient Coder (COC) or RHIA or RHIT certification. + Inpatient facility coding experience, preferred. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that… more
    Northwell Health (08/08/25)
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