• Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Albany, NY)
    …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
    Datavant (08/08/25)
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  • Risk Adjustment Auditor Educator Fully Remote

    Trinity Health (Syracuse, NY)
    …education to providers and coders. They work to improve documentation quality, identify coding discrepancies, and ensure compliance with regulations as well as ... A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits… more
    Trinity Health (07/18/25)
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  • Associate Medical Director, PVRM

    Sumitomo Pharma (Albany, NY)
    …dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will provide hands-on ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
    Sumitomo Pharma (08/02/25)
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  • Medical Coder (On Site)

    LaSante Health Center (Brooklyn, NY)
    Medical Coder LaSante Health Center is seeking a detail-oriented Medical Coder to ensure accurate coding and abstraction of patient encounters. The ideal ... + Audit clinical documentation for accuracy. + Assign codes for reimbursement and compliance . + Provide coding guidance to care providers. + Identify and… more
    LaSante Health Center (08/01/25)
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  • Coder - ER Level 1 (Certified), Department of HIM

    BronxCare Health System (Bronx, NY)
    …public perception of BronxCare Health System and its employees. Qualifications - 1-2 Years Medical Records Coding experience - CCS or CPC Required - High school ... CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance . Under the direction of the director of Health Information Management,… more
    BronxCare Health System (06/09/25)
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  • Radiology Coder

    SUNY Upstate Medical University (Syracuse, NY)
    …days from home and 3-4 work days in office Minimum Qualifications: + Certification in medical coding (eg, CPC, RCC) preferred. + Minimum of 2 years' experience ... procedures using ICD-10, CPT, and HCPCS codes. + Ensure compliance with current healthcare regulations and payer requirements. +...in radiology coding and billing. + Proficient in medical more
    SUNY Upstate Medical University (07/24/25)
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  • Inpatient Audit Specialist

    Datavant (Albany, NY)
    …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
    Datavant (07/29/25)
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  • Certified Coder - REMOTE

    Molina Healthcare (Buffalo, NY)
    …sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going ... improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive...such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists… more
    Molina Healthcare (07/31/25)
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  • Health Information Educator Auditor Outpatient KMH

    Catholic Health (Kenmore, NY)
    …is required + CEMC is preferred EXPERIENCE + Three (3) years of coding experience utilizing electronic encoders/references, and compliance software, is required ... and coordination. Takes action and is proactive, addressing problems and coding / compliance issues head-on, solution-oriented + Visual acuity for oversight… more
    Catholic Health (07/12/25)
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  • Coder - Inpatient

    Highmark Health (Albany, NY)
    …School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding ... Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret… more
    Highmark Health (08/02/25)
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