• Medical Coding Auditor Evaluation…

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT ... Experience with the Claims Life Cycle + Experience with coding /auditing Professional Inpatient Claims +… more
    Humana (11/18/25)
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  • Outpatient Coding Consultant PRN

    Datavant (Albany, NY)
    …Same day surgery and Observation Coder with 3-5 years of hands-on outpatient coding experience . The ideal candidate will have demonstrated expertise in the ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote ...and Observation Coder with 3-5 years of hands-on outpatient coding experience . The ideal candidate will have… more
    Datavant (10/30/25)
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  • Payment Integrity DRG Coding & Clinical…

    Excellus BlueCross BlueShield (Rochester, NY)
    …or projects with minimal direction or oversight. . Acts as an expert in reviewing medical coding and medical record review with ability to oversee complex ... I . Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and...RHIT) or a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance, or recovery auditing,… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Outpatient Coding Consultant FT 1,500 Sign…

    Datavant (Albany, NY)
    …healthcare from your own workspace! Seeking full time ancillary coder. Must have experience coding labs, pathology, radiology, and preop. System experience ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote ...Division Policies. Seeking full time ancillary coder. Must have experience coding labs, pathology, radiology, and preop.… more
    Datavant (11/11/25)
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  • Program Management Lead, Offshore Coding

    CenterWell (Albany, NY)
    …certification required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' ... degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and… more
    CenterWell (10/23/25)
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  • Inpatient Clinical & Coding Specialist…

    Independent Health (Buffalo, NY)
    …a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM ... as well as respective reimbursement methodologies associated with each coding system preferred. + Experience and proficiency...PC/Windows skills with proficiency in Microsoft Word and Excel. Experience with remote access - citrix, VPN,… more
    Independent Health (10/04/25)
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  • Coder II - OP Physician Coding (Ortho…

    Baylor Scott & White Health (Albany, NY)
    …data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and ... Hours: 8hrs a day, 80hrs a pay period 100% Remote The pay range for this position is $26.66...depend upon the successful candidate's specific qualifications and prior experience . **JOB SUMMARY** + The Coder 2 is proficient… more
    Baylor Scott & White Health (11/16/25)
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  • Manager Coding - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …work experience . + 5 years of hospital-based inpatient and outpatient coding /auditing/chart review experience , with a focus on advanced ICD-10-CM and PCS ... Manager Coding - Full Time - Days Department: ...and implement solutions. Flexible work arrangements are available (hybrid, remote , etc.). Core Job Responsibilities + Problem solves and… more
    Mohawk Valley Health System (10/07/25)
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  • Senior Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    coding + Travel may be required **Highly Preferred Skills:** + Inpatient Coding Experience (valid/current CPC, CIC, or CCS Certification) + At least 1 ... development of training and audit tools. The Senior Clinical Coding Auditor & Trainer position is primarily remote...existing and new employees + Audit established guidelines for medical necessity + Analyze training needs and identify, select,… more
    Centene Corporation (11/05/25)
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  • (RN) Registered Nurse Coding Auditor…

    Northwell Health (Garden City, NY)
    …information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding ... Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Hybrid or Remote Job Responsibility 1.Leverages clinical expertise to identify and validate… more
    Northwell Health (11/08/25)
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