• Billing/Coding Analyst - Ancillary

    SUNY Upstate Medical University (Syracuse, NY)
    …years of coding and billing experience OR current CPC (Certified Professional Coder ) and 4 years of coding and billing experience required. Excellent communication, ... organizational, analytical and interpersonal skills required. Auditing experience preferred . Preferred Qualifications: Associate's degree in Finance, Accounting,… more
    SUNY Upstate Medical University (07/15/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    … Experience** 5+ years Clinical Nursing experience, including hospital acute care/ medical experience. ** Preferred License, Certification, Association** Any one ... or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
    Molina Healthcare (08/02/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    …AAS or BS degrees in HIM/ Medical Records, CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees ... is a minimum requirement. Bachelor of Science in Health Information Management or Medical Records Administration is preferred . Reg Health Info Tech (RHIT) within… more
    Kaleida Health (07/23/25)
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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 (06/07/25)
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  • 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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  • 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)
    …of the audit plan **.** **Qualifications** + Associates degree required. Bachelor's degree preferred . An additional two (2) years of experience will be considered in ... one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health… more
    Independent Health (07/15/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. ** Preferred Qualifications** ... every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
    CVS Health (08/09/25)
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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 (08/08/25)
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