• Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …analysis. . Maintains current competencies in clinical documentation improvement and ICD, CPT and HCC coding through continuing education. Assists with ... internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of… more
    WMCHealth (07/09/25)
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  • Pre Authorization Representative - Medical…

    Arnot Health (Elmira, NY)
    …and procedures. This position requires a strong understanding of medical terminology, CPT /ICD-9 coding , and insurance processes, as well as excellent ... required; hospital or clinical experience preferred + Experience in medical coding (ICD-9/ CPT ) or prior billing experience required + Knowledge of insurance… more
    Arnot Health (08/16/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Albany, NY)
    …vendor, managed care, or healthcare consulting environment. + Strong understanding of HCPCS, CPT , and ICD-10 coding systems. + 5+ years of experience managing ... who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of… more
    Evolent (07/18/25)
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  • Experienced Medical Compliance Auditor

    FlexStaff (Chappaqua, NY)
    …and coding gaps, including issues related to Time, Place of Service, Modifiers, CPT , and Diagnosis coding - Perform periodic probe audits to detect coding ... ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding , and documentation will support our mission to uphold the highest… more
    FlexStaff (08/16/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …surgical, Ob/Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS ... Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare, CHIP and Marketplace, applicable State regulatory requirements, including the ability to easily access and interpret these guidelines. **Required License,… more
    Molina Healthcare (08/15/25)
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  • Clinical Assistant-Pain Services - Full Time

    Guthrie (Binghamton, NY)
    …along with contributing to department/office goals. + Become familiar with ICD‐9 and CPT coding . + Cleans, stocks, and prepares exam rooms. + Coordinate ... patient appointments for X‐ray, CT scans, Physical Therapy, etc. as ordered by the providers. + Assists with obtaining and processing referral and pre‐certification requirements. + Maintains confidentiality, respect and consideration of patients and others. +… more
    Guthrie (08/15/25)
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  • Licensed Professional Mental Health Counselor…

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …Monitors multiple data points such as SAIL, productivity, access, utilization, bookability, CPT coding , Veteran and employee satisfaction and compliance with ... accreditation bodies. Supervises the PCT and SUD clinical staff and coordinators. Performs the administrative and personnel management function relative to staff supervised including personnel actions, clinical and administrative supervision, consultation,… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Social Worker (Program Coordinator)

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …Monitors multiple data points such as SAIL, productivity, access, utilization, bookability, CPT coding , Veteran and employee satisfaction and compliance with ... accreditation bodies. Supervises the PCT and SUD clinical staff and coordinators. This includes GS 12/13 coordinators, social workers, psychologists, LPMHCs and peer specialists. Performs the administrative and personnel management function relative to staff… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Supervisory Social Worker - MHC

    Veterans Affairs, Veterans Health Administration (Buffalo, NY)
    …monitors multiple data points such as SAIL, productivity, access and clinic utilization, CPT coding , Veteran and employee satisfaction and TJC, CARF and OIG ... compliance. The incumbent may delegate tasks to appropriate staff, in which case s/he is responsible for overseeing the development and implementation of these processes. Note: The above is not an exhaustive list of duties and you will be expected to perform… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Medical Receptionist TRI Ortho

    Catholic Health (Williamsville, NY)
    …topics + General knowledge of medical office procedures and terminology including ICD-10 and CPT coding . + Proficient in computer skills, including the use of a ... computer (keyboarding and the mouse), Microsoft Word and email + Desire and skill to meet the needs of the patient + Possesses organization, communication (written and verbal) and time management skills + Ability to prioritize work responsibilities and… more
    Catholic Health (08/08/25)
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