• Manager, DRG Coding & Validation (RN) Remote

    Molina Healthcare (NY)
    …Association** Active and unrestricted Registered Nurse (RN) license and Certified Coding Specialist (CCS), (CIC), Certified Professional Coder (CPC) License in ... and implementation of the DRG validation program. Responsible for auditing inpatient medical records and generating high quality claims payment to ensure payment… more
    Molina Healthcare (06/14/25)
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  • Investigator, Coding SIU

    Molina Healthcare (Rochester, NY)
    …to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified ... for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and… more
    Molina Healthcare (06/19/25)
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  • Coding Educator

    Stony Brook University (Commack, NY)
    …add to your bottom line. **Job Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** : Finance **Primary Location** : ... new employees. + Assess and provide feedback to each coder on their work performed. + Development of reinforcement...performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding.… more
    Stony Brook University (06/10/25)
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