• 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 with established documentation and coding more
    WMCHealth (07/09/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Albany, NY)
    …of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and ... Health Information Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA)...Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder more
    Evolent (07/18/25)
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  • Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    …the attending physician's description and the information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical ... the physician documentation for specificity, completeness and quality to support coding accuracy, and to identify physician query opportunities to improve the… more
    Mount Sinai Health System (07/17/25)
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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 weekend rotation **POSITION PURPOSE** Responsible for… more
    Trinity Health (08/02/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... 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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  • Billing Specialist-78319-027

    Mount Sinai Health System (Elmhurst, NY)
    …or acquired through the completion of a High School Diploma. Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by ... **Job Description** Review Medical charts and documentation within but not limited...with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder /AAPC. Ability… more
    Mount Sinai Health System (08/08/25)
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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 Auditor (CPMA) required and + Education - 5+… more
    Trinity Health (07/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (08/09/25)
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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, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • Operations Reconciliation Analyst

    Nuvance Health (Poughkeepsie, NY)
    *Description* *Summary:* This position will partner with all Nuvance Health Medical Practices to identify opportunity, and support revenue recovery initiatives and ... 7. Works closely with Patient Accounting to ensure all billing edits and coding edits are corrected within Revenue Cycle, where applicable 8. Works with … more
    Nuvance Health (07/08/25)
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