• 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) ... (ABN) waivers, pre-authorizations, referrals, correct insurance demographic information and medical necessity pertaining to documentation and coding. Will interact… more
    SUNY Upstate Medical University (08/26/25)
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  • Coding Supervisor Hybrid

    Garnet Health (Middletown, NY)
    …as a Coding Supervisor on our Coding team at/in Garnet Health Medical Center Middletown. Responsibilities Responsible for coordinating and supervising inpatient and ... outpatient coding and abstracting functions at Garnet Health Medical Center and Garnet Health Medical Center...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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  • 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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  • Manager Coding - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …& baby, and pediatrics. + Strong knowledge of anatomy, disease processes, medical terminology, pharmacology, and surgical procedures. + Proficient use of electronic ... + CCS Certification (Certified Coding Specialist), CIC Credential (Certified Inpatient Coder ), or CPC Credential (Certified Professional Coder ) from the… more
    Mohawk Valley Health System (07/08/25)
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  • 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 ... Information:* . Bachelor's Degree or equivalent experience . Certified Professional Coder (CPC) preferred .Five (5) years relevant experience in hospital setting,… more
    Nuvance Health (07/08/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    …CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees without HIM/ Medical Records degrees who have ... but not limited to any type of inpatient/or outpatient medical records for the purpose of data quality, accurate...and procedures are coded through review of the entire medical record, utilizing the International Classification of Diseases 10th… more
    Kaleida Health (09/25/25)
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  • Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation ... physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to… more
    Cardinal Health (08/27/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies to ensure accurate diagnosis coding. ... validation for the following programs, including but not limited to: * Prospective medical record review of health plan providers * Retrospective medical record… 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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  • Billing Specialist-Msh-78319-030

    Mount Sinai Health System (Elmhurst, NY)
    **Job Description** Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a ... acquired through the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion… more
    Mount Sinai Health System (09/18/25)
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