• 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 ... is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies to ensure accurate diagnosis coding.… more
    Excellus BlueCross BlueShield (08/27/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Yonkers, NY)
    …Nursing **Preferred Experience** 5+ years Clinical Nursing experience, including hospital acute care/ medical experience. **Preferred License, Certification, ... more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
    Molina Healthcare (09/26/25)
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  • Supervisor Facility Coding

    UHS (Binghamton, NY)
    …to lead a team of coding professionals supporting accurate and timely medical documentation. In this key leadership role, you will oversee daily operations, ... units. At UHS, we believe that every connection matters-from the accuracy of each medical code to the relationships you build with your team and the departments we… more
    UHS (09/19/25)
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  • Clinical Denials and Appeals-Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …the following (or similar) credentials: Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified ... for diagnostic related grouping (DRG) assignment, inpatient and outpatient medical necessity. The individual also works to maintain third-party payer… more
    Catholic Health (10/01/25)
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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 ... **5 years of management or supervisory experience** in a hospital setting. + Industry credentials (RHIT, RHIA, or CCS)...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
    Datavant (09/04/25)
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  • Coding Specialist (Revenue Integrity Operations)

    Northwell Health (Westbury, NY)
    …assignment of coding system, modifier(s) and revenue codes, by reviewing medical record documentation, facility protocol, regulatory guidance and other applicable ... maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. + Coordinates with ancillary… more
    Northwell Health (09/20/25)
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  • School Based Health Social Worker - LMSW, LCSW,…

    Bassett Healthcare (Gilbertsville, NY)
    …State Office of Mental Health rules and regulations and in accordance with hospital policies and practices + Performs outpatient emergency or urgent evaluations as ... accordance with department standards for billing of services + Provides coder /analyst with timely, accurate, and adequate billing information following each patient… more
    Bassett Healthcare (08/28/25)
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