• RN Clinical Appeals Nurse

    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 (09/26/25)
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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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  • Outpatient Audit Specialist

    Datavant (Albany, NY)
    …allowing you to help shape the future of healthcare from your own workspace! ** Preferred : Candidate needs a strong skill set in SDS, ED, Observation and I&I** **What ... Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
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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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  • 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 ... compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the Senior Director CDM… more
    Mount Sinai Health System (09/24/25)
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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 (08/27/25)
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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 ... coding in an acute care hospital. Validation and auditing experience preferred . ? Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. ?… more
    Mount Sinai Health System (07/17/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …to help shape the future of healthcare from your own workspace! Preferred : Ideal candidate will preferably have experience with SMART software experience. Candidate ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...teamwork, and leadership skills **What You Need to Succeed:** Preferred : Ideal candidate will preferably have experience with SMART… more
    Datavant (07/29/25)
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  • Billing Specialist-Msh-78319-030

    Mount Sinai Health System (Elmhurst, NY)
    …with CPC / CCS-P credentials. At least six months coding experience preferred . Certified Professional Coder /AAPC. Ability to use computer. Average dexterity ... **Job Description** Review Medical charts and documentation within but not limited...the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification… more
    Mount Sinai Health System (09/18/25)
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  • Professional Coding Educator

    Catholic Health Services (Melville, NY)
    …metrics chosen to demonstrate success of the plan. + Collaborates with medical staff to develop and implement education training associated with new technologies, ... with 7 years coding or coding/billing experience in a professional billing setting. Preferred Requirements: + Bachelor's Degree - Business or related field of study… more
    Catholic Health Services (07/31/25)
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