• Investigator

    Highmark Health (Albany, NY)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (09/10/25)
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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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  • 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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  • School Based Health Social Worker - LMSW, LCSW,…

    Bassett Healthcare (Gilbertsville, NY)
    …department needs. (SBHC/Dept of Health regulations) + Provides psychotherapy on an outpatient basis to individuals, and groups in accordance with Office of Mental ... regulations and in accordance with hospital policies and practices + Performs outpatient emergency or urgent evaluations as needed, and facilitates urgent care… more
    Bassett Healthcare (08/28/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …Technologist and related professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of… more
    Mount Sinai Health System (09/24/25)
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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 Specialist

    Kaleida Health (Buffalo, NY)
    …responsible for coding, including, but not limited to any type of inpatient/or outpatient medical records for the purpose of data quality, accurate ... CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees without HIM/ Medical Records degrees who have… more
    Kaleida Health (09/25/25)
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  • Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …of documentation and coding related to physician or hospital (inpatient and outpatient ) billing and/or medical necessity reviews. + Manages focused audits ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
    Cardinal Health (08/27/25)
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  • Clinical Denials and Appeals-Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …clinical documentation/support for diagnostic related grouping (DRG) assignment, inpatient and outpatient medical necessity. The individual also works to ... the following (or similar) credentials: Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified… more
    Catholic Health (10/01/25)
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