• Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... appeals). + Act as a liaison between the CDI professional, HIM, and the hospital 's medical staff to facilitate accurate and complete documentation for coding and… more
    Mohawk Valley Health System (07/09/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …& third party payors. + Develop, Implement and coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + ... + Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze and maintain… more
    WMCHealth (06/27/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG, ... Nursing **Preferred Experience** 5+ years Clinical Nursing experience, including hospital acute care/medical experience. **Preferred License, Certification, Association** Any… more
    Molina Healthcare (08/15/25)
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  • MDS - Nurse Assessment Coordinator (RN)

    National Health Care Associates (Melville, NY)
    …compliance to all state and federal regulations for MDS completion and coding conventions + Collaborate with interdisciplinary teams to ensure accurate data ... Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state… more
    National Health Care Associates (08/15/25)
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