• Special Investigation Unit (SIU) Coding Review…

    CVS Health (Albany, NY)
    …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for… more
    CVS Health (08/08/25)
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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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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that ... evidence and tools. + Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare… more
    CVS Health (08/09/25)
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  • Billing Specialist-78319-027

    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 (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (08/09/25)
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  • Revenue Integrity Charge Specialist Fully Remote

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote. May include every 5th weekend rotation **POSITION PURPOSE** Responsible for ... are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations.… more
    Trinity Health (08/02/25)
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  • Inpatient Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    …one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health ... the hospital audit process. + Responsible for the ongoing management of Inpatient Medical Admission and Readmission audits to include trends of clinical findings and… more
    Independent Health (07/15/25)
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  • Senior Coding Educator

    Humana (Albany, NY)
    …Coding Educator is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with providers to enhance ... or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with...Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission,… more
    Humana (08/08/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …cases concurrently to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in a professional, efficient, ... EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
    Datavant (07/29/25)
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  • Professional Coding Educator

    Catholic Health Services (Melville, NY)
    …and metrics chosen to demonstrate success of the plan. Collaborates with medical staff to develop and implement education training associated with new technologies, ... welcome but not required Required Certifications/Registrations/Licenses CPC - Certified Professional Coder or CCS-P or RHIT/RHIA MINIMUM EXPERIENCE REQUIRED: 5 years… more
    Catholic Health Services (07/31/25)
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