• Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …such as inappropriate billing for readmissions, inpatient admission status, and Hospital -Acquired Conditions (HACs). + Suggests and develops high quality, high ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (08/09/25)
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  • Inpatient Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    …team. The Clinical & Coding Specialist-Senior will support the leadership in Hospital Audit in accomplishing all aspects of the audit plan **.** **Qualifications** ... one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health… more
    Independent Health (07/15/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …and retrospective medical record coding. * Works with vendors, providers and hospital Medical Records Departments and Business Office staff to coordinate medical ... to peer guidance through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains accuracy in… more
    Excellus BlueCross BlueShield (08/08/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …**Preferred Experience** 5+ years Clinical Nursing experience, including hospital acute care/medical experience. **Preferred License, Certification, Association** ... one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
    Molina Healthcare (08/02/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    …AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + Auditing - Certified Auditor Certified Professional ... Caring and healing practices are found in relationships, communication and the hospital setting. Patients are actively involved in their care and experience a… more
    Trinity Health (07/18/25)
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  • LCSW-R School Based Health Cen

    Bassett Healthcare (Sidney, NY)
    …Office of Mental Health rules and regulations and in accordance with hospital policies and practices Performs outpatient emergency or urgent evaluations as needed, ... in accordance with department standards for billing of services Provides coder /analyst with timely, accurate, and adequate billing information following each patient… more
    Bassett Healthcare (07/16/25)
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  • Manager, Coding Operations

    Datavant (Albany, NY)
    …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... Program. + At least **5 years of management or supervisory experience** in a hospital setting. + Industry credentials (RHIT, RHIA, or CCS) with at least **5 years… more
    Datavant (06/24/25)
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