• Medical Coding Auditor

    Humana (Albany, NY)
    …and receives guidance where needed. Follows established guidelines/procedures. As a Medical Coding Auditor for the Hospital Outpatient/APC Coding ... community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against... guidelines specific to Ambulatory Payment Classification (APC) and Hospital Outpatient Facility coding + Utilize encoders… more
    Humana (01/07/26)
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  • Inpatient Medical Coding Auditor

    Humana (Albany, NY)
    …an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper ... and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a...reading and interpreting claims * Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital… more
    Humana (12/23/25)
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  • Clinical Revenue Auditor -CDM Patient…

    Mount Sinai Health System (New York, NY)
    …and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... charged, ultimately maximizing reimbursement for services rendered. + Ensure adherence to coding guidelines and compliance regulations set by entities like the… more
    Mount Sinai Health System (12/24/25)
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  • Nurse Auditor 2

    Humana (Albany, NY)
    …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... and diagnosis coding for services rendered is complete, compliant and accurate...compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require… more
    Humana (01/06/26)
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  • Network Practice Coder/ Auditor

    WMCHealth (Valhalla, NY)
    … System (HCPCS) and identifying opportunities for improvement as well as assuring compliance with coding and documentation guidelines. In addition the coder is ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...levels to identify trends requiring further education + Monitors coding surgical procedures in practice and hospital … more
    WMCHealth (11/01/25)
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  • OB/GYN Coder / Provider Educator

    SUNY Upstate Medical University (Syracuse, NY)
    …discrepancies. + Validate coding accuracy in accordance with UHDDS, CMS, and hospital coding guidelines. Provider Education & Training: + Develop and deliver ... professional OB/GYN encounters. This position serves as a key liaison between coding , clinical, and compliance departments ensuring that all documentation and… more
    SUNY Upstate Medical University (11/12/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Albany, NY)
    …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
    Datavant (01/08/26)
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