• Professional Coding Educator/Auditor

    Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
    …setting, with 2 years experience in auditor role. Certified Professional Coder (AAPC, AHIMA)- Required Certified Medical Auditor Certification (AAPC)-Preferred ... Education SHIFT/CORE HOURS: Monday-Friday 8:30AM-5:00PM Exciting Careers Await at Premier Medical Group! Who We Are We are a physician-owned, multi-specialty … more
    Premier Medical Group of the Hudson Valley (09/12/25)
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  • Manager Coding - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …coding operations. Also, this role will audit the most complex service records to ensure coding and documentation accuracy and compliance. Contributes to revenue ... & baby, and pediatrics. + Strong knowledge of anatomy, disease processes, medical terminology, pharmacology, and surgical procedures. + Proficient use of electronic… more
    Mohawk Valley Health System (07/08/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    …, CCS certification is preferred as a Kaleida requirement. Certified Professional Coder (CPC)-grandfathered employees without HIM/ Medical Records degrees who ... coding, including, but not limited to any type of inpatient/or outpatient medical records for the purpose of data quality, accurate reimbursement, severity of… more
    Kaleida Health (09/25/25)
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  • Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …Adjustment Data Validation (RADV) Audits Essential Accountabilities: Level I * Reviews medical records to determine if specific disease conditions were correctly ... medical record coding. * Works with vendors, providers and hospital Medical Records Departments and Business Office staff to coordinate medical… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Clinical Reimbursement Manager; HSO Drg…

    Mount Sinai Health System (New York, NY)
    …the beneficiary's medical record. Responsible for performing quality reviews of medical records to validate correctness and appropriateness of the assigned ... **Responsibilities** Performs SMART focused reviews on ICD-10-CM/PCS coded inpt medical records to validate accuracy of codes... diagnoses or conditions that are clinically evident. Reviews coder queries to determine if the query is supported… more
    Mount Sinai Health System (07/17/25)
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  • Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …to work in a team environment and perform multi-job functions. + Knowledge of medical terminology and electronic medical records . + Professional and/or ... requirements. + Facilitates assigning of ICD-9 and ICD-10 codes by analyzing patient medical records . + Availability to assist with research of denied claims.… more
    Cardinal Health (08/27/25)
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  • Coding Educator

    Stony Brook University (Commack, NY)
    …results of each coders performance + Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding. Compile and ... new employees. + Assess and provide feedback to each coder on their work performed. + Development of reinforcement...line. **Job Number:** 2500556 **Official Job Title:** : TH Medical Records Senior Specialist **Job Field** :… more
    Stony Brook University (08/12/25)
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  • Health Care Disputes - Compliance Risk Adjustment,…

    Ankura (New York, NY)
    …+ Specific experience with RADV Audit responses including managing the collection of medical records , overseeing the selection of records and submitting ... knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work in California,… more
    Ankura (09/09/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …cycle environment. ? Extensive knowledge of medical billing software and electronic medical records . Must have experience working with Epic. ? Knowledge of ... Technologist and related professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding… more
    Mount Sinai Health System (09/24/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Yonkers, NY)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
    Molina Healthcare (09/26/25)
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