• Utilization Review Nurse

    CDPHP (Latham, NY)
    …for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality ... (2) years Utilization Management experience is preferred. + Knowledge of coding /claims processing is preferred. + Experience working with Microsoft Office, including… more
    CDPHP (09/23/25)
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  • Billing Coordinator - Accounts Receivable-MSH

    Mount Sinai Health System (New York, NY)
    …2 years healthcare billing experience required. Familiarity with CPT and ICD ( coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. ... May process refunds for supervisory approval. 9. Prepares and submits referring physician updates and other major dictionary requests to supervisor for approval. 10.… more
    Mount Sinai Health System (09/17/25)
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  • Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    …facilitating strong working relationships between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting, and hospital departments and ... accreditation guidelines, financial principals, reimbursement methodologies, coverage issues, documentation, coding conventions and insurance / managed care practices including… more
    Kaleida Health (09/17/25)
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  • Staffing Coordinator

    Rochester Regional Health (Rochester, NY)
    …completed for sick calls for RRH staff and Agency staff including the correct coding in KRONOS. Payroll + ​Ensures accurate timecards within KRONOS on a daily basis. ... Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations. PAY RANGE: $19.00… more
    Rochester Regional Health (09/04/25)
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  • Senior Analyst, Medical Economics (Vbc) - Remote

    Molina Healthcare (NY)
    …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
    Molina Healthcare (08/31/25)
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