• Compliance Auditing Specialist

    WMCHealth (Valhalla, NY)
    … (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....and staff to ensure the accuracy and completeness of medical record documentation and coding . Provides training,… more
    WMCHealth (07/09/25)
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  • Revenue Integrity Charge Specialist Fully…

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

    Datavant (Albany, NY)
    …vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... related to coding quality, compliance assessments, external payer reviews, ...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Albany, NY)
    Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **To comply with HIPAA ... of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and… more
    Evolent (07/18/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    …and REQUIRED CERTIFICATION, EDUCATION, LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + ... Specialist -Outpatient (CCDS-O) preferred. **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding , Auditing and Education primary functions:** + Working and managing… more
    Trinity Health (07/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (08/09/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …Certifications: Certified Professional Coder (CPC) or Certified Professional Coder -Hospital (CPC-H), preferred. Other: Familiarity with medical record ... coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + Recommend sound financial best practices that are… more
    WMCHealth (06/27/25)
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  • Revenue Cycle Supervisor

    Oak Orchard Health (Brockport, NY)
    …5+ years' experience working with coding and billing, required. + Certified Medical Billing Specialist / Medical Coder highly preferred. Comprehensive ... knowing that your work is making a difference in someone's life. We have 8 medical offices located in communities throughout Western NY and we continue to expand and… more
    Oak Orchard Health (07/16/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with… more
    Molina Healthcare (08/02/25)
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