• Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions… more
    Elevance Health (08/09/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …our bold vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational ... Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work,...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • Director- Health Information Management (Medical…

    St. Mary's Healthcare (Amsterdam, NY)
    …accurate coding for reimbursement and clinical care. + Establish and monitor coder productivity to optimize revenue cycle efficiency and minimize avoidable denials. ... obtained prior to hire date or job transfer date. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained… more
    St. Mary's Healthcare (07/05/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …(10%) + Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to ... With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education… more
    Highmark Health (08/08/25)
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  • Coding Supervisor

    Garnet Health (Middletown, NY)
    …Medical Center Middletown. Responsibilities Responsible for coordinating and supervising inpatient and outpatient coding and abstracting functions at Garnet Health ... preferred Minimum Experience: At least two years' experience of Inpatient and Outpatient coding in a supervisory capacity or...coding in a supervisory capacity or as a Lead Coder required. At least four years recent coding and… more
    Garnet Health (06/03/25)
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  • Senior Client Coding Project Manager

    Datavant (Albany, NY)
    …impacts on schedule and budget. + Coordinate the development of user manuals, coder training materials, and other documents as needed. + Manage client satisfaction ... deliver on them through collaboration with those responsible for coder performance management. + Drive quality assurance and performance...Minimum 5 years managing coders in an outpatient or inpatient setting. + Current CCS, CRC, or CPC required.… more
    Datavant (06/28/25)
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  • Coding Auditor

    Northwell Health (Lake Success, NY)
    …and related experience. + Current Coding credential: CER - Cert Professional Coder . (CPC) OR Certified Coding Specialist (CCS) OR CER - Certified Professional ... Coder (CCP), required. + 1-3 years of relevant experience...1-3 years of relevant experience required. + Prior hospital inpatient coding experience, preferred. *Additional Salary Detail The salary… more
    Northwell Health (06/06/25)
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  • Coding Educator

    Stony Brook University (Commack, NY)
    …education training for new employees. + Assess and provide feedback to each coder on their work performed. + Development of reinforcement training for existing staff ... Comorbidities in ICD-10 CM books + Provide education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the CDI staff on the use of… more
    Stony Brook University (08/12/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical ... and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ,… more
    Molina Healthcare (08/08/25)
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  • Billing Specialist-78319-027

    Mount Sinai Health System (Elmhurst, NY)
    …credentials. At least six months coding experience preferred. Certified Professional Coder /AAPC. Ability to use computer. Average dexterity and knowledge of software ... ICD-10CM and HCPCS codes for a multi-specialty group practice. Services include inpatient , outpatient, Emergency, and ambulatory surgery for both E & M encounters… more
    Mount Sinai Health System (08/08/25)
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