• Senior Hospital Coder

    Albany Medical Center (Albany, NY)
    …States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Hospital Coder is responsible for performing detailed coding quality audits, scheduled and ... and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and… more
    Albany Medical Center (07/23/25)
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  • Coding Auditor Educator- Inpatient

    Highmark Health (Albany, NY)
    …:** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL ... II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and… more
    Highmark Health (09/20/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …life experiences to realize our bold vision for healthcare. 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,...assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise… more
    Datavant (07/29/25)
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  • Coding Supervisor Hybrid

    Garnet Health (Middletown, NY)
    …Medical Center Middletown. Responsibilities Responsible for coordinating and supervising inpatient and outpatient coding and abstracting functions at Garnet Health ... 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… more
    Garnet Health (09/01/25)
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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 ... + Provide education to the CDI staff on the Inpatient Prospective Payment System. + Provide education to the...chapter. + Provide education to the CDI staff on DRG Expert reviews. Identify surgical DRG 's versus… more
    Stony Brook University (08/12/25)
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  • Clinical Denials and Appeals-Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …but not limited to clinical documentation/support for diagnostic related grouping ( DRG ) assignment, inpatient and outpatient medical necessity. The individual ... the following (or similar) credentials: Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case… more
    Catholic Health (10/01/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    …is responsible for coding, including, but not limited to any type of inpatient /or outpatient medical records for the purpose of data quality, accurate reimbursement, ... CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees without HIM/Medical Records degrees who have this… more
    Kaleida Health (09/25/25)
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  • Supervisor, Coding

    Baylor Scott & White Health (Albany, NY)
    …procedures, day surgery, emergency department, outpatient visits, observation, or inpatient records. Reviews records to validate diagnoses, procedures, modifiers, ... APC assignment, and/or DRG . Identifies high-risk areas in coding and documentation practices....Certified Coding Specialist-Physician Based (CCS-P), or + Certified Professional Coder (CPC), or + Reg Health Info Administrator (RHIA),… more
    Baylor Scott & White Health (09/10/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Rochester, NY)
    …reports quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient ... 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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  • 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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