• Medical Coder - Inpatient Hospital - ICD 10…

    Cognizant (Albany, NY)
    **Job Title: Medical Coder - Inpatient Hospital - ICD 10 CM/PCS ( Remote )** **Location:** [ Remote ] **Employment Type:** [Full-time] M-F flexible hours An ... **inpatient hospital medical coder** is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and… more
    Cognizant (10/28/25)
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  • Compliance Auditing Specialist- Remote…

    WMCHealth (Valhalla, NY)
    …working with providers and staff to ensure the accuracy and completeness of medical record documentation and coding . Provides training, education and coaching to ... Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State:...providers and staff regarding accurate and complete medical record documentation and coding in compliance… more
    WMCHealth (09/12/25)
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  • Outpatient Coder ( Remote )

    WMCHealth (Valhalla, NY)
    …Internal Applicant link Job Details: Job Summary: The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic ... Outpatient Coder ( Remote ) Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...+ Provides information to and responds to inquiries regarding medical documentation, coding , and APCs/APGs from hospital… more
    WMCHealth (09/12/25)
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  • Medical Director - Claims Mgmt…

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
    Humana (11/01/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …We seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization ... and experience + 5+ years of experience in hospital chargemaster maintenance and medical coding . + Certified Professional Coder (CPC) or equivalent credential… more
    Mount Sinai Health System (08/28/25)
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  • Clinical Documentation Integrity Manager-…

    Garnet Health (Middletown, NY)
    …us as a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical Center. Responsibilities Under the direction of The Administrator, Coding & ... department. The Manager ensures that reviews of the patient's medical data are conducted to assess appropriateness and ...denials and work closely with the outcomes manager and coding denial coordinator to oversee and write compelling, factual… more
    Garnet Health (10/23/25)
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  • Manager, Medical Economics (Medicaid)…

    Molina Healthcare (NY)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (11/09/25)
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  • Senior Analyst, Medical Economics (Vbc)…

    Molina Healthcare (NY)
    …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
    Molina Healthcare (08/31/25)
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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 ... reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge,… more
    Molina Healthcare (11/14/25)
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  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Albany, NY)
    …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (11/14/25)
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