• Sr Analyst, Scope Management - Healthcare

    Evolent (Albany, NY)
    …surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food ... review teams. + Demonstrate strong analytical abilities, with a proven track record of deriving valuable insights from both quantitative and qualitative data. +… more
    Evolent (07/18/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes ... Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented...Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or… more
    CVS Health (08/09/25)
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  • Inpatient Clinical & Coding Specialist - Senior

    Independent Health (Buffalo, NY)
    …statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding ... + Responsible for all reconsideration clinical appeals to include review of records , consultation with Medical Director, response to facilities as well… more
    Independent Health (07/15/25)
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  • Senior Coding Educator

    Humana (Albany, NY)
    …Senior Coding Educator is responsible for reviewing and analyzing internal data and medical records , as well as coordinating educational sessions with providers ... or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with...Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing,… more
    Humana (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (08/09/25)
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  • Revenue Integrity Charge Specialist Fully Remote

    Trinity Health (Syracuse, NY)
    …to perform charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ... **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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  • LCSW-R School Based Health Cen

    Bassett Healthcare (Sidney, NY)
    …and community support services as required Maintains ongoing patient records , documents therapeutic interventions and progress in achieving treatment goals ... in accordance with department standards for billing of services Provides coder /analyst with timely, accurate, and adequate billing information following each patient… more
    Bassett Healthcare (07/16/25)
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