• Medical Director - Commercial Appeals

    CVS Health (Albany, NY)
    …Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise ... well as directing case management when necessary. The Medical Director will act as a business and clinical... Director will act as a business and clinical liaison to network providers and facilities if needed,… more
    CVS Health (05/16/25)
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  • IPA Coding Associate Director

    CenterWell (Albany, NY)
    …The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of the disease ... prevalence within the population. The IPA Coding Leader partners with IPA strategic partners to develop market-specific strategies to promote accurate clinical … more
    CenterWell (04/24/25)
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  • Inpatient Clinical & Coding…

    Independent Health (Buffalo, NY)
    …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing ... coding and clinical decisions on cases involving complex clinical ...appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of… more
    Independent Health (04/15/25)
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  • Director - Health Information Management…

    St. Mary's Healthcare (Amsterdam, NY)
    …organization to include the oversight of coding staff to ensure accurate coding for reimbursement and clinical care. + Establish and monitor coder ... according to regulations. + Identifies, implements, and maintains medical coding quality and compliance within regulatory and accreditation standard requirements.… more
    St. Mary's Healthcare (04/05/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel ... to ensure accurate reporting of procedures. + Acts as liaison between medical coding /revenue cycle operations and the clinical physicians/staff. + Assist in new… more
    CenterLight Health System (05/17/25)
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  • Manager Coding - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …to optimize reimbursement and quality measures. + Track, trend, and analyze individual and departmental coding KPIs and report up to the Director of CDI and ... Manager Coding - Full Time - Days Department: CODING Job Summary The Manager Coding will manage and oversee a team of coders (inpatient and outpatient) to… more
    Mohawk Valley Health System (04/23/25)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    ** Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... of equity and inclusion where diversity is valued and celebrated!_ **Position** Director Clinical and DRG Denials **Location** US:NY:Buffalo | Management |… more
    Kaleida Health (03/20/25)
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  • Associate Director Clinical…

    Regeneron Pharmaceuticals (Tarrytown, NY)
    …and LOINC and other biomedical ontologies. + Appreciation of nuances of clinical data from different sources ( coding , structure, classification). + Excellent ... a Physician Scientist in our TAG-CI (Therapeutic Area Genetics- Clinical Informatics) department to tap into the growing database...OHDSI tools and the OMOP data models + Excellent coding and quantitative skills and overall familiarity with modern… more
    Regeneron Pharmaceuticals (03/15/25)
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  • Associate Technical Director , Immunology…

    Stony Brook University (Stony Brook, NY)
    …the Department of Laboratories team. This position reports to the Administrative Director , Clinical Pathology. Medical and technical oversight of the Immunology ... Laboratory is provided by the Head of Clinical Immunology/Flow Cytometry and Laboratory Director . This...Capital Equipment. + Responsible for annual review of CPT coding and related billing data. + Develops, implements and… more
    Stony Brook University (05/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Albany, NY)
    …Other duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
    Humana (05/14/25)
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