• Denials Prevention Specialist, Clinician PRN

    Datavant (Albany, NY)
    …+ Knowledge of CMS, State Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word, Excel, Outlook, experience ... working in a health plan medical management documentation system a plus. Minimum Education: LVN/LPN + Preferred Education: BA or BS in Nursing, experience preferred to perform + Minimum Experience: 3 to 5 years acute care experience + 2 years Health Plan or… more
    Datavant (11/12/25)
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  • Surgical Scheduling Coordinator II - Orthopedics

    Mount Sinai Health System (New York, NY)
    …Certificate in Medical Technology preferred + Certificate in ICD-9 preferred + Certificate in CPT coding preferred + 3 years of scheduling experience, with 2 ... years of experience in a clinical setting, preferably in a medical practice environment Non-Bargaining Unit, 845 - Orthopaedics - ISM, Icahn School of Medicine **Responsibilities** + Responsible for the coordination of all OR surgeries and procedures. +… more
    Mount Sinai Health System (11/01/25)
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  • Pre Authorization Representative - Case Mgmt

    Arnot Health (Elmira, NY)
    …may be assigned EDUCATION: Mandatory: Clinical experience in various areas is needed/and or coding in various areas. ICD9/ CPT coding certifications or prior ... carrier. CLERICAL: 7. Demonstrates insurance knowledge. 8. Demonstrates knowledge of ICD-9 coding / CPT / HCPCs to ensure Arnot Health to receive the maximum… more
    Arnot Health (11/25/25)
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  • Clinical Investigator

    MVP Health Care (Tarrytown, NY)
    …fraudulent activity. + Possess knowledge of CPT -4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data. + Working ... + Obtain CPC and/or COC credential. + Maintain nursing license and coding credentials through continuing education process as required. + Superior judgment skills,… more
    MVP Health Care (12/02/25)
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  • Authorization Specialist Ortho/Spine Office

    Trinity Health (Syracuse, NY)
    …a background in referrals, denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT & E & M coding conventions as applicable. Participates in ... analyzes, and interprets complex medical information, applying specific knowledge of coding requirements and conventions to correctly classify, code and abstract… more
    Trinity Health (10/21/25)
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  • Medical Coder I

    Ellis Medicine (Niskayuna, NY)
    …(Charge Description Master) and related encounter forms, ensuring compliance with CPT /HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, ... responsible for reviewing and coding from discharge data abstracts; and ensuring the practice(s)...diagnoses and procedures and assigns the appropriate ICD-10-CM and CPT -4 codes utilizing Cerner PowerChart and the Soarian Financial… more
    Ellis Medicine (11/26/25)
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  • Medical Records Coder IV, Lead

    University of Rochester (Rochester, NY)
    Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT , ICD, E&M, Modifiers and requirements for multiple specialties. ... Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URCB 209… more
    University of Rochester (11/06/25)
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  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    …Description Master) and related encounter forms, (4) ensuring compliance with CPT /HCPCS and ICD-10 coding guidelines and government regulations, responsible ... for reviewing and coding from discharge data abstracts; and (5) ensuring the...diagnoses and procedures and assigns the appropriate ICD-10-CM and CPT -4 codes utilizing PowerChart and the Soarian Financial Management… more
    Ellis Medicine (10/28/25)
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  • Pharmacy Tech - Hospital Pharmacy Operations…

    Bassett Healthcare (Oneonta, NY)
    …and how to research for HCPCS codes and units, as well as knowledge of CPT /HCPCS coding to decipher applicable codes and units per drug is also required. ... Licensure/Certificates: + None Skills: + Must be highly detail oriented and have strong math and organizational skills. Proven ability to manage complex projects. Understanding of basic accounting principles, knowledge of medical terminology and understanding… more
    Bassett Healthcare (10/29/25)
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  • LPN-Utilization Mgmt Reviewer - Case Management…

    Guthrie (Cortland, NY)
    …Knowledge of health benefit plans and related UM requirements preferred. Experience with CPT /ICD coding , medical record or chart auditing, and experience in ... utilization management processes preferred. Knowledge of computer applications (such as Microsoft word processing and spreadsheets) desirable Education/License Current LPN licensure or eligibility for licensure required Essential Functions + Conducts… more
    Guthrie (10/28/25)
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