• ED Coder / Certified

    Northwell Health (Staten Island, NY)
    …abbreviations) to ensure accuracy to align with Coding Compliance Regulations ( Department of Justice/OIG).Abstracts data from the medical record and enters data ... required productivity and competency levels established for a full time Inpatient Coder 10. (Inpatient:20 ) Meets productivity and competency standards for coding of… more
    Northwell Health (11/21/25)
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  • Coder - ER Level 1 ( Certified

    BronxCare Health System (Bronx, NY)
    …reporting, research, and regulatory compliance. Under the direction of the director of Health Information Management, accurately code outpatient conditions and ... patient's discharge. - Exhibits a high degree of accuracy. Coder sequences the diagnosis and procedures using ICD-10CM and...in Coding by earning the required number of continuing education units. - Abstracts from the medical record all… more
    BronxCare Health System (09/08/25)
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  • Sr Certified Medical Coder RN

    Centene Corporation (New York, NY)
    …duties as assigned. + Complies with all policies and standards. ** Education /Experience:** RN Degree. One year experience preferred in hospital inpatient coding. ... Actual pay will be adjusted based on an individual's skills, experience, education , and other job-related factors permitted by law, including full-time or part-time… more
    Centene Corporation (11/06/25)
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  • Billing Coord/ Coder Ambulatory - Physician…

    Hackensack Meridian Health (Glen Ridge, NJ)
    …**Licenses and Certifications Required:** + Certified Coding Specialist or Certified Outpatient Coder . **Licenses and Certifications Preferred:** + An ... and serve as a leader of positive change. The **Billing Coordinator / Coder ** is responsible for coordinating the day-to-day billing operations of the department more
    Hackensack Meridian Health (10/12/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Yonkers, NY)
    …* Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit ... has been made or upon request by another Molina department to reduce the likelihood of a formal appeal...home health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must… more
    Molina Healthcare (11/14/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Yonkers, NY)
    …+ Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit ... care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. + Licensed Vocational Nurse (LVN) or Licensed… more
    Molina Healthcare (11/13/25)
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  • Physician Billing (PB) Coding Auditor and Educator

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …Health Information Administrator (RHIA); Certified Coding Specialist (CCS); or Certified Professional Coder (CPC) Certification. + Certified Professional ... as directed by the Hackensack Meridian Health (HMH) Network. ** Education , Knowledge, Skills and Abilities Required:** + High School...(1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you… more
    Hackensack Meridian Health (11/01/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), ... care and medical billing and reimbursement. This position will report to the Senior Director . This role will serve as a crucial link in the revenue cycle, ensuring… more
    Mount Sinai Health System (09/24/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Yonkers, NY)
    …Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education ** Bachelor's degree (or ... skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education ** High School Diploma / GED (or higher) **Required Experience**… more
    Molina Healthcare (11/20/25)
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  • Billing Specialist - Psychiatry Administration…

    Mount Sinai Health System (New York, NY)
    …Associates Degree or high school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims, ... providers a coding optimally. 3. Collaborate with other coders and provide education /feedback to the providers on optimal billing and coding for outpatient… more
    Mount Sinai Health System (11/14/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Yonkers, NY)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... federal and Molina guidelines. * Meets claims production standards set by the department . * Applies contract language, benefits and review of covered services to… more
    Molina Healthcare (11/21/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Yonkers, NY)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... partners to determine response. * Meets claims production standards set by the department . * Applies contract language, benefits and review of covered services to… more
    Molina Healthcare (11/21/25)
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  • Associate Specialist, Appeals & Grievances

    Molina Healthcare (Yonkers, NY)
    …setting experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current Molina ... experience in a health care setting, or equivalent combination of relevant education and experience. * Customer service experience. * Organizational and time… more
    Molina Healthcare (11/21/25)
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  • Manager, Appeals & Grievances

    Molina Healthcare (Yonkers, NY)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... with regulatory requirements. * Ensures claims production standards set by the department are met. * Maintains call tracking system of correspondence and outcomes… more
    Molina Healthcare (11/13/25)
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  • Senior Financial Analyst/CDM Chargemaster…

    Mount Sinai Health System (New York, NY)
    …years of experience in hospital chargemaster maintenance and medical coding. + Certified Professional Coder (CPC) or equivalent credential required + Proficient ... CDM with timely updates driven by regulatory changes and department requests + Ensures the ongoing accuracy and integrity...Compliance:** + Audit charge capture for inpatient, outpatient, clinic, ED , and ambulatory services + Work with HIM and… more
    Mount Sinai Health System (08/28/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Woodbridge, NJ)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills,… more
    Elevance Health (11/12/25)
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  • Compliance Education Manager

    Weill Cornell Medical College (New York, NY)
    …tracking platforms, and data visualization tools. **Licenses and Certifications** + Certified Professional Coder (CPC) or equivalent required **Working ... Title: Compliance Education Manager Location: Midtown Org Unit: The Office...leading educational initiatives. + Experience in a healthcare compliance department and working knowledge of Epic preferred. **Knowledge, Skills… more
    Weill Cornell Medical College (11/08/25)
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  • Billing Specialist-78319-027

    Mount Sinai Health System (Elmhurst, NY)
    …with CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder /AAPC. Ability to use computer. Average dexterity and ... HCPCS codes for a multi-specialty group practice. Services include inpatient, outpatient, Emergency , and ambulatory surgery for both E & M encounters and procedures.… more
    Mount Sinai Health System (11/06/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Woodbridge, NJ)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills,… more
    Elevance Health (11/04/25)
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  • Director , Clinical Data Acquisition

    Molina Healthcare (Yonkers, NY)
    …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of… more
    Molina Healthcare (10/22/25)
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