• Registered Nurse Coding Auditor

    Northwell Health (Glen Cove, NY)
    …6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. ... Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates… more
    Northwell Health (11/14/25)
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  • CDI Auditor

    Albany Medical Center (Albany, NY)
    …CDI specialists and providers. 4. Collaborating extensively with providers, and medical coding staff to improve quality and completeness of documentation of care ... providers on the subject of accurate and ethical E/M coding and documentation. 12. Submitting appeals for clinical validation...of PSIs and HACs and on reviewing mortalities. CDI Auditor Job Description Summary This supervisory position will lead… more
    Albany Medical Center (11/06/25)
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  • Inpatient Auditor Specialist PRN- 1,000…

    Datavant (Albany, NY)
    …Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. + Provides rich and ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (11/01/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Albany, NY)
    … coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (10/09/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …CPC designation within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG , HCPCS, ICD10, etc.). + A general understanding ... contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Compliance Analyst II, Urmc and Affiliates

    University of Rochester (Rochester, NY)
    …healthcare coding experience** required, to include: **APG** , **APC** , and/or ** DRG ** coding methodologies or professional coding and billing in ... two pathways for the Compliance Analyst II (1: Compliance Billing, Coding , and Education Analyst,** **or** **2: Compliance Specialist):** **1: Compliance Billing,… more
    University of Rochester (10/03/25)
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