• Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
    Molina Healthcare (08/08/25)
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  • Coder - Outpatient

    Rochester Regional Health (Rochester, NY)
    …Inpatient Coder, your strong attention to detail is crucial when reviewing and accurately coding medical records. RESPONSIBILITIES: + Coding . Code a variety ... QUALIFICATIONS: + One of the following certifications is required: Applicable advance coding certification credential includes: Certified Coding Specialist… more
    Rochester Regional Health (08/08/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …working with providers and staff to ensure the accuracy and completeness of medical record documentation and coding . Provides training, education and coaching to ... providers and staff regarding accurate and complete medical record documentation and coding in compliance...Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or … more
    WMCHealth (07/09/25)
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  • Risk Adjustment Auditor Educator - St. Peter's…

    Trinity Health (Albany, NY)
    …and REQUIRED CERTIFICATION, EDUCATION, LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + ... Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models,...Auditing - Certified Auditor Certified Professional Medical more
    Trinity Health (07/29/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Albany, NY)
    …Information Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder (CPC) + ... of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and… more
    Evolent (07/18/25)
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  • Product Security Engineer (Hybrid; NYC, Loveland…

    Antech Diagnostics (New York, NY)
    …Security Engineer will be responsible for defining, implementing and enforcing secure coding practices to ensure that software security is embedded early on ... the design and implementation of information security requirements, including secure coding standards, language-specific secure coding guidelines, as well as… more
    Antech Diagnostics (06/26/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    …and REQUIRED CERTIFICATION, EDUCATION, LICENSURE AND EXPERIENCE INCLUDES:** + Risk Adjustment Coding - Certified Risk Adjustment Coder (CRC) required and + ... Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models,...Auditing - Certified Auditor Certified Professional Medical more
    Trinity Health (07/18/25)
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  • Senior Inpatient Coder (Remote)

    WMCHealth (Valhalla, NY)
    …of specialized experience. Licenses / Certifications: Current certification as a Certified Coding Specialist (CCS) required. Certification as Registered Health ... is responsible for addressing appeals to insurance companies and coding highly complex medical records using the...to insurance companies and coding highly complex medical records using the current International Classification of Diseases… more
    WMCHealth (06/26/25)
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  • Outpatient Coder

    WMCHealth (Warwick, NY)
    …Internal Applicant link Job Details: Remote Position The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic ... year of the required experience. Licenses / Certifications: Current certification as either a Certified Coding Specialist (CCS) or Certified Coding more
    WMCHealth (05/28/25)
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  • Revenue Integrity Charge Specialist Fully Remote

    Trinity Health (Syracuse, NY)
    …and ensure charges/ coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, ... **Employment Type:** Full time **Shift:** **Description:** Certified Coder Fully remote. May include every 5th...with Providers to educate on improved documentation to support coding . As a mission-driven innovative health organization, we will… more
    Trinity Health (08/02/25)
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