• Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, 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 (08/08/25)
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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 (07/23/25)
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