• Operations Reconciliation Analyst

    Nuvance Health (Poughkeepsie, NY)
    *Description* *Summary:* This position will partner with all Nuvance Health Medical Practices to identify opportunity, and support revenue recovery initiatives and ... edits 2. Serve as a subject matter expert related to charging and billing issues, and assists in developing and maintaining related policies, procedures, and work… more
    Nuvance Health (07/08/25)
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  • Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …(technical) services, including: detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular ... documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Manages focused audits involving… more
    Cardinal Health (08/27/25)
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  • Staff Assistant 2 - Radiology

    SUNY Upstate Medical University (Syracuse, NY)
    …training pertaining to Medical Terminology, Medical Coding, Medical Assistant Program. Preferred Qualifications: Certified Professional Coder (CPC) ... Job Summary: Analyze OP admits for appropriate billing requirements involving Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals, correct… more
    SUNY Upstate Medical University (08/26/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential ... seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the… more
    Mount Sinai Health System (08/28/25)
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  • Investigator

    Highmark Health (Albany, NY)
    …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
    Highmark Health (09/10/25)
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  • Professional Coding Educator

    Catholic Health Services (Melville, NY)
    …resulting in effective auditing and education to assigned services/departments, coding and billing teams. It also requires a broad exposure and knowledge of the ... to demonstrate success of the plan. + Collaborates with medical staff to develop and implement education training associated...+ Associate's Degree with 5 years of coding or coding/ billing experience in a professional billing setting… more
    Catholic Health Services (07/31/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …for reviewing records via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. **What You Will Do:** + Performs Inpatient ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. + 5+ years of… more
    Datavant (10/04/25)
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  • School Based Health Social Worker - LMSW, LCSW,…

    Bassett Healthcare (Gilbertsville, NY)
    …on a regular basis + Functions in accordance with department standards for billing of services + Provides coder /analyst with timely, accurate, and adequate ... + Paid time off, including company holidays, vacation, and sick time + Medical , dental and vision insurance + Life insurance and disability protection + Retirement… more
    Bassett Healthcare (10/03/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …* Extensive knowledge of coding conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care ... is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies to ensure accurate diagnosis coding.… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    …the attending physician's description and the information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical ... Hospital **Responsibilities** Performs SMART focused reviews on ICD-10-CM/PCS coded inpt medical records to validate accuracy of codes assigned, selection of… more
    Mount Sinai Health System (07/17/25)
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