• RN Utilization Review - System Care Management…

    Guthrie (Binghamton, NY)
    …complex cases. Assists departmental staff with issues related to coding , medical records/documentation, precertification, reimbursement and claim ... requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimburesement policy criteria. Provides case… more
    Guthrie (04/05/25)
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  • EOC Adjunct Lecturer - Allied Health (Beoc)

    CUNY (Brooklyn, NY)
    …the following non-credit Allied Health certificate programs/courses: + Electronic Health Records + Medical Billing and Coding / Medical Insurance + Medical ... Terminology + Phlebotomy/Vital Signs/EKG + CPR/BLS + AMAP/SCIP-R Classes may be held in the day or evening. **QUALIFICATIONS** **MINIMUM QUALIFICATIONS** Bachelor's degree in area(s) of expertise, and the ability to teach successfully. **PREFERRED… more
    CUNY (02/12/25)
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  • Procedural Billing Specialist II- Oncology…

    Mount Sinai Health System (New York, NY)
    coding services for complex or more specialized inpatient and outpatient medical office visits. Reviews physician coding and provides updates. + Provides ... process for specialized or complex pre and post-surgical procedures, including coding , Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates… more
    Mount Sinai Health System (04/16/25)
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  • Advisor, Revenue Cycle Quality & Performance…

    Northwell Health (Lake Success, NY)
    …effectively. + Experience in physician billing/healthcare operations: Demonstrated experience in medical billing processes, coding , or healthcare operations. + ... Analytical skills with reporting experience: Proven ability to analyze data, interpret reports, and draw meaningful conclusions. + Project management skills: Capability to initiate, plan, execute, and close projects successfully, including managing resources… more
    Northwell Health (05/04/25)
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  • Patient Access Rep - Patient Registration Services…

    Arnot Health (Bath, NY)
    …finance, collections, or billing preferred. + Experience with computer applications required; medical terminology and coding knowledge are beneficial. + Strong ... interpersonal skills with the ability to communicate effectively across various departments. + Commitment to maintaining patient confidentiality and professionalism. Physical Requirements + Light physical activity including sitting, walking, and computer use.… more
    Arnot Health (04/11/25)
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  • Medical Director - Commercial Appeals

    CVS Health (Albany, NY)
    …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical more
    CVS Health (05/03/25)
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  • Medical Director - New Jersey Market

    CVS Health (Albany, NY)
    …Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... the ability to obtain a NJ License. In the Medical Director role you will provide oversight for ...Medical Director role you will provide oversight for medical policy implementation. You will participate in the development,… more
    CVS Health (03/30/25)
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  • Health Information Management Educator Auditor…

    Catholic Health (Kenmore, NY)
    …competency + Thorough knowledge of ICD-10-CM, ICD-10-PCS (E/M), anatomy and physiology, medical terminology, APC's, and Outpatient referred coding requirements + ... Health Information Management (HIM) Educator/Auditor will work cooperatively with CH coding associates, physicians, Inpatient and Outpatient Coding Managers,… more
    Catholic Health (04/05/25)
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  • DRG Validator- REMOTE

    WMCHealth (Valhalla, NY)
    …purpose of coding and DRG optimization. Must have thorough knowledge of medical terminology, ICD codes and coding guidelines. Strong oral and written ... high-risk and other problems identified during reviews. + Provides education to medical staff as necessary. + Contacts physicians or departmental clinical staff to… more
    WMCHealth (03/14/25)
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  • Health Information Management Administrator 1, (NY…

    New York State Civil Service (Elmira, NY)
    …management experience*.*Professional health information management experience must include: reviewing medical records with physicians, coding and indexing ... Management Administrator 1, you would manage the day-to-day operations of a medical records program; plan, implement, and maintain systems for acquiring and… more
    New York State Civil Service (04/09/25)
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