• (RN) Registered Nurse Coding Auditor…

    Northwell Health (Garden City, NY)
    …position Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates ... codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. 8.Identifies… more
    Northwell Health (11/21/25)
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  • Inpatient Auditor Specialist PRN- 1,000…

    Datavant (Albany, NY)
    …reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise rationale explaining the ... and/or auditing. + CCS (preferred), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including Epic, Cerner, and other… more
    Datavant (11/01/25)
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  • Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …for workflow enhancements. + Evaluates Prospective Payment System (PPS) (eg APC, DRG , etc.) grouping and pricing information. + Meets individual and departmental ... standards in regards to quality and productivity. + Strong organizational, analytical and writing skills. + Excellent verbal and communication skills. + Maintain good working relationships within and outside of the department. + Provides expertise and… more
    Centers Plan for Healthy Living (10/14/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Albany, NY)
    …you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART software ... medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding… more
    Datavant (10/09/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …discussions with Medical Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. + Mentors (to others ... + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding of...and commercial products (eg, Medicare, Medicaid, CPT, HCPCS, ICD10, DRG , APC, RBRVS, etc.). + Extensive experience with claims… more
    Excellus BlueCross BlueShield (09/17/25)
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