• Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation ... is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in… more
    Elevance Health (08/09/25)
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  • (RN) HCS-D, COS-C - Registered Nurse Coding…

    Northwell Health (Westbury, NY)
    …- BSN or MSN candidates with a HCS-D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS Specialist -Clinical. Conducts Home Health Resource ... diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility + Audits and reviews… more
    Northwell Health (06/02/25)
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  • Rap Team Leader

    City of New York (New York, NY)
    …subsidy programs. HPA/ Rental Assistance Program (RAP) is recruiting for one (1) Associate Job Specialist 02 to function as a as a RAP Team Leader, who will: - ... and guidance on difficult cases in the case planning process as necessary. - Supervise staff that correspond with...clients; take appropriate action on reported - Provide information, documentation and maintain contact with other teams to ensure… more
    City of New York (08/13/25)
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  • Diversity Equity Inclusion (DEI) Compliance…

    CUNY (Queens, NY)
    …affirmative action, Title IX and ADA accessibility efforts on campus. The Specialist must maintain confidentiality and present a professional, tactful, and welcoming ... of the University, CUNY administrators and visitors. In addition, the Specialist will create a welcoming, supportive safe and inclusive environment. The… more
    CUNY (07/29/25)
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  • Analyst

    City of New York (New York, NY)
    …IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE CONTRACT SPECIALIST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: Within the Office ... Reporting to the Director of Contract and Procurement, the Associate Contract Specialist will work closely with various bureaus within the Office of External… more
    City of New York (07/27/25)
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  • FEMA Disaster Management Accountant

    CDM Smith (Albany, NY)
    …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims. This role is critical in ... property damage, business interruption, and other loss categories. The specialist will conduct thorough forensic investigations to identify discrepancies, detect… more
    CDM Smith (08/01/25)
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  • Claim Examiner

    MetLife (Oriskany, NY)
    …life claims to identify claim situations requiring referral to Complex Case Manager Specialist or Claims Quality Specialist . . Maintain good rapport with ... necessary and provide a response to the customer. . Process claims within payment authority up to $400,000. ....reports, homicide investigations, etc.) . Coach new Case Manager Specialist on FEGLI Life procedures and workflow. . Interpret… more
    MetLife (08/17/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current… more
    Highmark Health (08/08/25)
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  • Case Manager

    City of New York (New York, NY)
    …capacity. Under the supervisory direction of the Associate Benefits Opportunity Specialist I, with some latitude for independent judgment and decision making, ... the Benefit Opportunity Specialist (BOS) is responsible for providing various functions of...Case Manager, who will: - Handle the entire application process for all new applicants, perform in-person and telephonic… more
    City of New York (08/13/25)
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  • Senior Test / QA Analyst

    TD Bank (New York, NY)
    …product domains. The role involves interpreting quality challenges, recommending process improvements, leading cross-functional testing initiatives, and ensuring the ... post-production validations. + Manage creation, review and sign-off of testing documentation (eg, test strategies, plans, schedule, test cases, dashboards, defect… more
    TD Bank (06/06/25)
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