• CDQI Nurse Specialist - Part Time - Remote

    Datavant (Albany, NY)
    …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... our medical record documentation. You will conduct daily evaluations and...timely, accurate, and complete documentation reviews for selected inpatient records , addressing inadequate or conflicting documentation. + Collaborate with… more
    Datavant (09/04/25)
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  • Outpatient Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …providing insurance companies with procedural and diagnosis codes and pertinent medical records . Contacts patients and schedules appointments when authorization ... Job Summary: The Outpatient Administrative Specialist will obtain routine and non-routine insurance pre-authorizations,...of medical and/or dental terminology, familiarity with medical and/or dental coding , and excellent written/oral… more
    SUNY Upstate Medical University (09/19/25)
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  • Clerical Specialist II

    SUNY Upstate Medical University (Syracuse, NY)
    …services preferred Epic and rehabilitation (PT/OT/SLP) experience preferred Knowledge of medical terminology, familiarity with medical coding . Knowledge ... Job Summary: The Clerical Specialist II will provide clerical support in ambulatory...information. Obtain appropriate insurance authorizations when needed. Obtain additional records , reports, radiological reports, etc. as requested by patient,… more
    SUNY Upstate Medical University (07/29/25)
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  • Patient Access Specialist

    Saratoga Hospital (Malta, NY)
    …system. Completes patient estimates when needed. Completes cash reconciliation and deposits. * Medical Records : Maintain confidential medical records . ... Patient Access Specialist Location: Saratoga Hospital, Malta Medical ...established policies and procedures. Respond to patient requests for medical records . * Scheduling: Schedules medical… more
    Saratoga Hospital (08/13/25)
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  • US Payer Advocacy and Market Access Principal…

    Medtronic (New York, NY)
    …Summary** Medtronic is seeking a US Payer Advocacy and Market Access Principal Specialist , a role responsible for driving patient and market access with commercial ... experience and expertise with commercial payer stakeholders, understanding how medical policies for innovative therapies are established. This position supports… more
    Medtronic (09/27/25)
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  • Authorization Specialist - Cardiology

    Catholic Health Services (Roslyn, NY)
    …Long Island's Top Workplace! Job Details We are seeking an experienced Authorization Specialist to join our cardiology office, where your expertise will play a ... with office staff. + Track & Document: Maintain comprehensive records of communication between insurance carriers and facility representatives, ensuring… more
    Catholic Health Services (09/18/25)
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  • Specialist , Config Oversight (healthcare…

    Molina Healthcare (Rochester, NY)
    …and other business requirements critical to claim accuracy. Maintain audit records , and provide counsel regarding coverage amount and benefit interpretation within ... modules within the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions impacted by these… more
    Molina Healthcare (09/24/25)
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  • Medical Records Coder III, Complex

    University of Rochester (Rochester, NY)
    …Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred. - Or - Certified Professional ... medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding ...and medical codes in accordance with applicable coding rules and policies (eg ICD-10, CPT-4, HCPCS, DRG).… more
    University of Rochester (08/07/25)
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  • Provider Transformation Specialist (RN-…

    Highmark Health (Buffalo, NY)
    …parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio ... and efficiency metrics, accountable care organization development and support, patient centered medical home, and electronic health records . + Experience may be… more
    Highmark Health (09/26/25)
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  • Medical Records III, Complex

    University of Rochester (Rochester, NY)
    …Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or + Certified Professional Coder ... variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies.… more
    University of Rochester (08/07/25)
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