• Risk Adjustment Coding Specialist -St.…

    Trinity Health (Albany, NY)
    …Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** ... The Risk Adjustment Coding Specialist works in a team environment and is responsible...**SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication… more
    Trinity Health (11/15/25)
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  • Associate Specialist , Appeals & Grievances

    Molina Healthcare (NY)
    …setting experience. * Completion of a health care related vocational program (ie, certified coder , billing , or medical assistant). To all current Molina ... according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.… more
    Molina Healthcare (11/15/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Albany, NY)
    …Completion of a health care related vocational program in health care (ie, certified coder , billing , or medical assistant). To all current Molina employees: ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/15/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Rochester, NY)
    …Completion of a health care related vocational program in health care (ie, certified coder , billing , or medical assistant). To all current Molina employees: ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/09/25)
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  • Supervisor, Medical Coding

    University of Rochester (Rochester, NY)
    …(CPC) from American Academy of Professional Coders upon hire required or + Certified Medical Coder (CMC) from the Practice upon hire required Preferred: + ... assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert...Demonstrated working knowledge of the professional billing software applications + Active medical coding… more
    University of Rochester (11/06/25)
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  • Staff Assistant 2 - Radiology

    SUNY Upstate Medical University (Syracuse, NY)
    … Coding, Medical Assistant Program. Preferred Qualifications: Certified Professional Coder (CPC) /Certified Coding Specialist (CCS) also preferred. Extensive ... 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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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Healthcare Auditor ... of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the Senior Director. This… more
    Mount Sinai Health System (09/24/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and… more
    Molina Healthcare (10/18/25)
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