• Medical Claim Review Nurse (RN)

    Molina Healthcare (Rochester, 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 (09/06/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential required + Proficient in CPT, HCPCS, ... departments **Charge Capture Auditing & Compliance:** + Audit charge capture for inpatient , outpatient, clinic, ED, and ambulatory services + Work with HIM and… more
    Mount Sinai Health System (08/28/25)
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  • School Based Health Social Worker - LMSW, LCSW,…

    Bassett Healthcare (Gilbertsville, NY)
    …SBHC clinical treatment team + Facilitates referrals for medication evaluations, inpatient psychiatric hospitalizations, and community support services as required + ... 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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  • Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to ... and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Manages focused… more
    Cardinal Health (08/27/25)
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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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