• Compliance Audit Manager

    Cardinal Health (Albany, NY)
    …compliance department audits to determine accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient) billing ... or related field preferred. + 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or related work; cancer and… more
    Cardinal Health (11/08/25)
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  • Supervisor Coding

    Highmark Health (Albany, NY)
    …+ Assists coding manager with scheduling, payroll, work queue assignment, and physician education. (25%) + Assists with production coding when and where ... Network **Job Description :** **GENERAL OVERVIEW:** Primarily responsible for assisting the Coding Manager within the Coding Department. Assists in the… more
    Highmark Health (11/21/25)
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  • Associate Patient Account Representative

    Northwell Health (Lake Success, NY)
    …Job Responsibility 1.Performs charge and payment entry; also ensures accurate completion of coding for all assigned physician specialties. 2. Aids review of ... physician 's coding and identify possible conflicts in rules. 3.Notifies ...coding and identify possible conflicts in rules. 3.Notifies physician when discrepancies are identified for correction. 4.Coordinates incoming… more
    Northwell Health (12/24/25)
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  • OHIP Chief Medical Officer (Public Health…

    New York State Civil Service (Albany, NY)
    …Billing Committee, Utilization Review Edit Committee, Quality Improvement Committee, Physician Administered Medication Committee, Medical Coding Review and ... Department of Title OHIP Chief Medical Officer (Public Health Physician 3)- 88004 Occupational Category Health Care, Human/Social Services...NY Zip Code 12210 Duties Description The Public Health Physician 3 will function as the Director of the… more
    New York State Civil Service (12/17/25)
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  • Network Practice Coder/Auditor

    WMCHealth (Valhalla, NY)
    …certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist- Physician Based (CCS-P) through AHIMA, or as a Certified ... Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as well… more
    WMCHealth (11/01/25)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Albany, NY)
    …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for ... Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC… more
    Highmark Health (12/19/25)
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  • Coding and Documentation Review Specialist

    Catholic Health Services (Melville, NY)
    …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... Details Responsible for the review of provider documentation and coding charge review errors as well as Evaluation and...charge review errors as well as Evaluation and Management coding . Ensure that the coding is appropriate… more
    Catholic Health Services (12/09/25)
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  • Professional Coding Educator

    Catholic Health Services (Melville, NY)
    …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... was named Long Island's Top Workplace! Job Details The Coding Educator position is high profile and requires a...situations. This position requires a solid understanding of complex coding principles, guidelines, and concepts and can broadly apply… more
    Catholic Health Services (12/06/25)
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  • Payment Integrity DRG Coding & Clinical…

    Excellus BlueCross BlueShield (Rochester, NY)
    …co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician ... Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an...extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Coding Specialist

    Kaleida Health (Buffalo, NY)
    ** Coding Specialist** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job Description **Summary:** ... The coding specialist is responsible for coding , including,...medical staff on issues requiring further clarification using a physician query process when there are identifiable clinical indicators,… more
    Kaleida Health (12/25/25)
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