• (RN) HCS-D, COS-C - Registered Nurse Coding

    Northwell Health (Westbury, NY)
    …clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. + Identifies appropriate coding changes necessary to provide ... RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group… more
    Northwell Health (08/31/25)
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  • Clinical Revenue Auditor -CDM Patient…

    Mount Sinai Health System (New York, NY)
    …related professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... understanding of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving… more
    Mount Sinai Health System (09/24/25)
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  • Internal Auditor

    Avispa Technology (New York, NY)
    Internal Auditor VIAJP00001385 * Hourly pay: $40/hr * Worksite: Leading digital streaming network (New York, NY 10036 - Hybrid, Must be onsite 1-2 days a week, ... typically Monday/Tuesday are required) * W2 Employment, Group Medical , Dental, Vision, Life, Retirement Savings Program, PSL * 40 hours/week, 9 Month Assignment A… more
    Avispa Technology (09/23/25)
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  • Compliance Auditor Analyst

    SUNY Upstate Medical University (Syracuse, NY)
    …Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional ... coding and billing audits. Duties/Responsibilities: Analysis of ...guidelines and apply standards. Familiarity with health information and/or medical records. Able to organize work, prioritize assignments and… more
    SUNY Upstate Medical University (08/08/25)
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  • Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding ... Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. +...within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG,… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have...topics. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
    Datavant (08/13/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist ... and staff to ensure the accuracy and completeness of medical record documentation and coding . Provides training, education and coaching to providers and staff… more
    WMCHealth (09/12/25)
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  • Specialist, Config Oversight (healthcare…

    Molina Healthcare (Rochester, NY)
    …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... modules within the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions impacted by these… more
    Molina Healthcare (09/24/25)
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  • Pharmacy Revenue Integrity

    Albany Medical Center (Albany, NY)
    …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... decisions + Develop policies, guidelines, and procedures for pharmaceutical coding , billing, pricing, charging, and denial management to maximize...- Rarely Thank you for your interest in Albany Medical Center!Albany Medical Center is an equal… more
    Albany Medical Center (08/14/25)
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  • Internal Audit IT Analyst

    Coinbase (Albany, NY)
    …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
    Coinbase (09/19/25)
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