• CDI Auditor

    Albany Medical Center (Albany, NY)
    …educational sessions for physicians to improve their understanding of E&M coding guidelines, documentation requirements to support accurate inpatient and ... educational program for CDI specialists and providers, in both inpatient and outpatient setting, including: 1. Working with program...+ Has extensive knowledge and ability to teach E/M coding guidelines. Remote work + This role… more
    Albany Medical Center (11/06/25)
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  • OB/GYN Coder / Provider Educator

    SUNY Upstate Medical University (Syracuse, NY)
    Position Overview Responsible for the accurate and compliant coding of inpatient , outpatient, and professional OB/GYN encounters. This position serves as a key ... or health system environment. + Strong background in OB/GYN inpatient , outpatient, and surgical coding . + Experience...assist providers as needed. Work Environment + May be remote , hybrid, or on-site, depending on hospital policy. +… more
    SUNY Upstate Medical University (11/12/25)
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  • Sr Certified Medical Coder RN

    Centene Corporation (New York, NY)
    …standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding . Nursing experience in managed care organization or ... position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient ...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (11/06/25)
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  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    This position can be local or remote !! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding more
    Ellis Medicine (10/28/25)
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  • On-Site Procedural Billing Specialist I…

    Mount Sinai Health System (New York, NY)
    …Roosevelt - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews ... in continuing education programs to effectively apply ICD-10-CM/PCS, CPT and HCPCS coding guidelines to inpatient and outpatient diagnoses and procedures. +… more
    Mount Sinai Health System (10/10/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work Schedule Monday to ... Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review… more
    Molina Healthcare (10/18/25)
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  • Medical Director - Nat'l UM IP (4x10 hr)

    Humana (Albany, NY)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (11/07/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Albany, NY)
    …care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external ... An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Albany, NY)
    …participation in care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
    Humana (10/25/25)
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  • Revenue Cycle Analyst - Medical Group - E…

    Trinity Health (East Greenbush, NY)
    …is located at 2 Empite Drive East Greenbush, NY, and has the opportunity to work remote 1 day a week. . This Revenue Cycle Analyst is needed for the medical group. ... Coding and EPIC knowledge not required but a plus....to identify needed feedback to practice locations. + Process inpatient charges submitted by providers via interface tool or… more
    Trinity Health (10/28/25)
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