• Healthcare Clinical Documentation Specialist

    Deloitte (New York, NY)
    …quality improvement, and value-based payment models + Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment + Other revenue ... for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply...and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and… more
    Deloitte (11/08/25)
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  • ProFee Audit Specialist FT- 2,500 Sign on Bonus

    Datavant (Albany, NY)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... in neurosurgery and orthopedics. Experience in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient... is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
    Datavant (11/05/25)
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  • Field Reimbursement Manager - Immunology…

    J&J Family of Companies (Garden City, NY)
    …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. . Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more
    J&J Family of Companies (11/18/25)
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  • Field Reimbursement Manager, Immunology…

    J&J Family of Companies (New York, NY)
    …authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, ... regional, local, and account market dynamics including coverage and coding requirements. + Grow the knowledge of hub and...departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding… more
    J&J Family of Companies (11/17/25)
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  • Risk Adjustment Analyst

    MVP Health Care (Schenectady, NY)
    …opportunities and obstacles. + Measure capture rate of Hierarchical Condition Categories ( HCC )s and diagnosis codes related to Risk Adjustment programs to improve ... + Use Clinical Risk Group (CRG) software to target interventions for improved coding for Medicaid members. Calculates ROIs for Risk Adjustment programs. + Maintain… more
    MVP Health Care (11/18/25)
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  • Director of Enterprise Charge Description Master…

    Mount Sinai Health System (New York, NY)
    …LCD/NCDs. Extensive understanding of reimbursement theories to include DRG, OPPS, HCC and managed care. Extensive working knowledge of health care compliance. ... Communicates and reviews impact on operations of third-party requirements for charging, coding or billing changes with defined stakeholders. + Develops and or… more
    Mount Sinai Health System (10/23/25)
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