• Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of ... documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …experience in critical care, emergency medicine, medical /surgical or pediatrics. + Billing and coding experience. To all current Molina employees: If you ... a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for...medical claims and previously denied cases in which an appeal has been made, or is likely to… more
    Molina Healthcare (10/18/25)
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  • Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written reports of audit ... state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and...+ 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or… more
    Cardinal Health (11/08/25)
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  • Surgical Anesthesia Compliance Auditor

    FlexStaff (Chappaqua, NY)
    …clinical records, ensuring accuracy, completeness, and compliance. Your expertise with medical terminology, coding , and documentation will support our mission ... of integrity and ethical practice. You'll conduct anesthesia chart reviews, identify billing and coding discrepancies, and communicate findings effectively to… more
    FlexStaff (11/08/25)
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  • Medical Records Coder II - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …Department: CODING Job Summary Under the general direction of the Director CDI/ Coding or designee, the Medical Records Coder I will improve documentation, ... Guidelines, CMS and NGS. Core Job Responsibilities + Assign the appropriate DRG based on an analysis of the patient file and medical necessity + Assign diagnosis… more
    Mohawk Valley Health System (10/15/25)
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  • Staff Assistant 2 - Radiology

    SUNY Upstate Medical University (Syracuse, NY)
    …experience may be considered. Additional course work or specialized training pertaining to Medical Terminology, Medical Coding , Medical Assistant ... (ABN) waivers, pre-authorizations, referrals, correct insurance demographic information and medical necessity pertaining to documentation and coding . Will… more
    SUNY Upstate Medical University (08/26/25)
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  • Account Administrator-Revenue Cycle

    Weill Cornell Medical College (New York, NY)
    …analysis. **Education** + High School Diploma **Experience** Approximately 2 years of medical billing experience **Knowledge, Skills and Abilities** + Prior ... for NYC Offices **Position Summary** Under direct supervision, performs billing and account receivable activities to maximize insurance reimbursement...experience working with an eMR system. + Demonstrated knowledge of … more
    Weill Cornell Medical College (11/14/25)
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  • Medical Records - Coder I - Full Time…

    Mohawk Valley Health System (Utica, NY)
    …Department: CODING Job Summary Under the general direction of the Director CDI/ Coding or designee, the Medical Records Coder I will improve documentation, ... Medical Records - Coder I - Full Time...Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and… more
    Mohawk Valley Health System (10/02/25)
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  • Medical Records - Coder II - Part Time…

    Mohawk Valley Health System (Utica, NY)
    Medical Records - Coder II - Part Time - Days Department: CODING Job Summary The Medical Records Coder II will improve documentation, data quality and ... Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and...or equivalent experience + 1 year of experience as an inpatient coder. + Knowledge of EMR, Coding… more
    Mohawk Valley Health System (10/10/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    … an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of ... 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC)...teams to support rebilling and correction processes as needed ** Coding & Billing Accuracy:** + Audit and… more
    Mount Sinai Health System (08/28/25)
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