• Trauma Registrar

    WMCHealth (Valhalla, NY)
    …Details: Job Summary: Trauma Registrar is responsible for collecting, abstracting, coding and reporting data regarding patients with traumatic injuries. The ... incumbent reviews medical records and communicates with trauma team staff to...as required. Qualifications/Requirements: Experience: Some experience with health information coding . Any combination of education, training and experience that… more
    WMCHealth (09/12/25)
    - Related Jobs

  • Clinical Investigator

    MVP Health Care (Rochester, NY)
    …must have in addition to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or RN. + New York State ... required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + Maintain nursing license and coding … more
    MVP Health Care (09/20/25)
    - Related Jobs

  • Investigator Senior

    Elevance Health (Latham, NY)
    …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more
    Elevance Health (10/01/25)
    - Related Jobs

  • Investigator

    Highmark Health (Albany, NY)
    …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
    Highmark Health (09/10/25)
    - Related Jobs

  • Patient Accounts Receivable Billings Manager

    Charles Evans Center (Bethpage, NY)
    …County. We operate Federally Qualified Health Centers (FQHC) providing integrated medical , dental, behavioral health, and substance use services across four ... plans + Assist with review and negotiation of payer contracts + Maximize coding accuracy and billing under FQHC regulations (Articles 28, 31, 32) + Maintain… more
    Charles Evans Center (08/23/25)
    - Related Jobs