• Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team ... (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written communication skills. .… more
    Trinity Health (11/15/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …are highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of ... suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS),… more
    Molina Healthcare (11/14/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential ... **Job Description** **Senior Financial Analyst/CDM Chargemaster -Corporate-Full-Time Days ( REMOTE )** We seek an experienced Senior Financial Analyst / CDM… more
    Mount Sinai Health System (08/28/25)
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  • Profee Coding Consultant (Radiology Imaging)…

    Datavant (Albany, NY)
    …is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding ... and alternative care settings. **We're seeking an experienced Radiology Imaging Coder . The ideal candidate will accurately identify ICD-10 diagnosis codes, CPT… more
    Datavant (11/13/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Albany, NY)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
    Datavant (11/07/25)
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  • Client Coding Project Manager - Full Time…

    Datavant (Albany, NY)
    …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... in a tactful and positive manner. + Experience overseeing remote (Work at Home) operations. + Exceptional interpersonal skills,...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
    Datavant (10/09/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Albany, NY)
    …suite/applicable software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... is highly preferred. Work hours: Monday - Friday 8:00am - 4:00pm Remote position **Essential Job Duties** + Coordinates, conducts and documents pre-delegation and… more
    Molina Healthcare (11/13/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (NY)
    …for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and ... medical records to document relevant findings of a post...registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree… more
    Molina Healthcare (10/22/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... that has a current active unrestricted license This a remote role and can sit anywhere within the United...a RN with experience with appeals, claims review, and medical coding. **Job Summary** Provides support for medical more
    Molina Healthcare (10/18/25)
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  • CDI Auditor

    Albany Medical Center (Albany, NY)
    …for CDI specialists and providers. 4. Collaborating extensively with providers, and medical coding staff to improve quality and completeness of documentation of care ... specialists and providers. 4. Collaborating extensively with providers, and medical coding staff to improve quality and completeness of...within the Albany Med Health System + Oversees the CDI/ Coder DRG mismatch review process in support of AMHS's… more
    Albany Medical Center (11/06/25)
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