• Director, Appeals & Grievances (Remote)

    Molina Healthcare (Buffalo, NY)
    …experience. **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including 2 years in ... Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/ Inpatient UB92, Universal Claims, Stop Loss, Surgery, Anesthesia, high dollar complicated… more
    Molina Healthcare (09/26/25)
    - Related Jobs

  • 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, ... and state regulations. Diagnoses and procedures are coded through review of the entire medical record, utilizing the International...in coding with ICD 10, PCS, CPT Coding and DRG /APC assignment in an acute care facility preferred. Prior… more
    Kaleida Health (09/25/25)
    - Related Jobs