• Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …+ Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify clinically active ... and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as well as...Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or… more
    CVS Health (09/27/25)
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  • (RN) HCS-D, COS-C - Registered Nurse Coding…

    Northwell Health (Westbury, NY)
    …are maintained in compliance with Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes on ... Medicare/non-Medicare charts for compliance to rules and conventions. + Instructs professional staff...and nursing supervisors in providing appropriate documentation in the Medical Record. + Identifies appropriate coding changes… more
    Northwell Health (08/31/25)
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  • Supervisor, HCC Risk Adjustment Coding…

    Datavant (Albany, NY)
    …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight...resource and subject matter expert to staff. + Ensure compliance with HIPAA regulations and requirements. + Completes all… more
    Datavant (09/20/25)
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  • Senior Pediatric Coder

    Northwell Health (New Hyde Park, NY)
    …mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric ... standards of data integrity. Job Responsibility 1.Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses,… more
    Northwell Health (09/16/25)
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  • Senior Hospital Coder

    Albany Medical Center (Albany, NY)
    …Citrix. + Assists with organizing the shared drive for the medical coding department. + Assist in development and compliance of comprehensive internal ... appeal letters. These individuals are highly skilled and considered experts in medical coding . Essential Duties and Responsibilities + Optimize hospital… more
    Albany Medical Center (07/23/25)
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  • Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services ... and accuracy of documentation in support of services billed; compliance with other documentation and coding and...5+ years of experience in physician and/or hospital technical coding /auditing, medical necessity reviews, or related work,… more
    Cardinal Health (08/27/25)
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  • Compliance Auditor Analyst

    SUNY Upstate Medical University (Syracuse, NY)
    …trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding , and billing guidelines. ... Job Summary: Position Summary: Under the direction of the Compliance Officer the main duties for this position include:...main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or… more
    SUNY Upstate Medical University (08/08/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance , and optimization of the ... and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC) or equivalent credential… more
    Mount Sinai Health System (08/28/25)
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  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    …Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government ... weekly chart audits for practice providers to optimize accurate documentation and coding . Additionally, all Medical Coder will participate in regularly scheduled… more
    Ellis Medicine (09/24/25)
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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 ... or must obtain CPC designation within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG, HCPCS, ICD10, etc.). + A general… more
    Excellus BlueCross BlueShield (09/17/25)
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