• Certified Coder

    Community Medical and Dental Care Inc (Monsey, NY)
    …Medical and Dental Care, located in Rockland County, NY, is seeking a full-time, experienced Certified Coder . The Coder will work directly with the insurance ... company, healthcare provider, and patient to get claims processed and paid. RESPONSIBILITIES: + Check encounters versus appointments scheduled and review encounters versus progress notes + Bill encounters + All unbillable encounters should be coordinated… more
    Community Medical and Dental Care Inc (05/10/25)
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  • Coder - ER Level 1 ( Certified

    BronxCare Health System (Bronx, NY)
    …patient disposition upon patient's discharge. - Exhibits a high degree of accuracy. Coder sequences the diagnosis and procedures using ICD-10CM and CPT-4 codes in ... accordance with the official Coding Guidelines and Hospital's policy. Abides by Standards of Ethical Coding as set forth by the American Health Information management Association (AHIMA). - Reviews with the manager when code assignments are unclear or… more
    BronxCare Health System (03/11/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …coding in the ambulatory setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification ... (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s). Education: Bachelor's Degree in related… more
    WMCHealth (04/09/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …program, degree in healthcare preferred, Bachelor's, preferred. Licenses / Certifications: Certified Professional Coder (CPC) or Certified Professional ... Coder -Hospital (CPC-H), preferred. Other: Familiarity with medical record documentation standards and practices, health care insurance billing issues, and federal and state billing compliance issues for hospitals; knowledge of CPT-4 codes and ICD-9-CM… more
    WMCHealth (04/25/25)
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  • Billing Specialist - Psychiatry - MSM - Full…

    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, ... with experience in EPIC & IDX billing systems in a health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance… more
    Mount Sinai Health System (03/15/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Yonkers, NY)
    …Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit ... Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in Healthcare Quality or other healthcare… more
    Molina Healthcare (05/21/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …Certification, Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + ... Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other healthcare certification To all… more
    Molina Healthcare (05/16/25)
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  • Senior Inpatient Coder

    WMCHealth (Valhalla, NY)
    Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC ... Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding… more
    WMCHealth (05/20/25)
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  • Compliance Specialist

    Hackensack Meridian Health (Hackensack, NJ)
    …Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder or Registered Health Info Tech License. + ... Certification in Healthcare Compliance (CHC) or the ability to obtain within 6 months. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today! 161785 HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL… more
    Hackensack Meridian Health (05/21/25)
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  • Inpatient Coder -Evening

    Hackensack Meridian Health (Hackensack, NJ)
    …healthcare and serve as a leader of positive change. The **Inpatient Coder ** assigns the principal diagnosis, comorbidities, complications and chronic conditions for ... or another related field. **Licenses and Certifications Required:** + Certified Coding Specialist. **Licenses and Certifications Preferred:** + Registered Health… more
    Hackensack Meridian Health (05/04/25)
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  • Outpatient Coder III

    Hackensack Meridian Health (Hackensack, NJ)
    …healthcare and serve as a leader of positive change. The **Outpatient Coder III** is responsible for accurately abstracting data following the Official International ... Accounts such as Diagnostic Radiology and Cardiology. **Licenses and Certifications Required:** + Certified in at least one of the following at hire or must obtain… more
    Hackensack Meridian Health (05/02/25)
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  • Revenue Integrity Coordinator- ONSITE

    WMCHealth (Valhalla, NY)
    …Degree preferred or two years' work experience. Licenses / Certifications: Certified Professional Coder (CPC) or similar credential, preferred. Other: ... Familiarity with medical record documentation standards and practices, health care insurance billing issues, and federal and state billing compliance issues for hospitals; knowledge of CPT-4 codes and ICD-10-CM codes is preferred. Special Requirements:… more
    WMCHealth (03/20/25)
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  • Pre-Authorization Supervisor (Remote)

    Weill Cornell Medical College (New York, NY)
    …to maximize productivity and work quality. **Licenses and Certifications** + Certified Professional Coder Certificate (CPC) course is welcomed. **Working ... Conditions/Physical Demands** EST daytime shift. Weill Cornell Medicine is an equal opportunity employer. For more information, click here (https://careers.weill.cornell.edu/about-weill-cornell/wcm-eeo-statement) . more
    Weill Cornell Medical College (05/21/25)
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  • Claims Specialist Hybrid- FlexStaff (Temp)

    FlexStaff (New York, NY)
    …of fees collected. + Performs related duties as required. Qualifications: + Bachelor's degree. Certified Professional Coder (a plus) + Eight or more years of ... insurance experience within a healthcare or managed care setting (preferred) + Prior third party insurance billing experience, required. + Knowledge of medical terminology, preferred. + Ability to communicate effectively. *Additional Salary Detail The salary… more
    FlexStaff (05/14/25)
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  • Coding Compliance and Training Specialist

    Weill Cornell Medical College (New York, NY)
    …and participate in their implementation. **Licenses and Certifications** + Certified Professional Coder Certificate (CPC) **Working Conditions/Physical Demands** ... Weill Cornell Medicine is a comprehensive academic medical center that is committed to excellence in patient care, scientific discovery, and the education of future physicians and scientists in New York City and around the world. Our doctors and scientists -… more
    Weill Cornell Medical College (03/25/25)
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  • Claims Specialist

    Actalent (Bronx, NY)
    …Suite. + Experience with claims processing systems or comparable database software. + Certified Professional Coder certification is a plus. + Experience within a ... healthcare or managed care setting preferred. + Knowledge of Managed Long Term Care (MLTC), Medicaid, and Medicaid benefits. + Understanding of Utilization Authorizations. + Familiarity with CPTs, ICD-9/ICD-10, HCPC, DRG, Revenue, and RBRVS. Pay and Benefits… more
    Actalent (05/19/25)
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  • Claims Specialist -temp to perm - FlexStaff

    FlexStaff (Bronx, NY)
    …projects and performs other duties as assigned QUALIFICATIONS: Education: Bachelor's degree. Certified Professional Coder (a plus) Experience: - Eight or more ... years of insurance experience within a healthcare or managed care setting (preferred) - Claims adjudication experience - Knowledge of MLTC/ Medicaid/Medicaid benefit - Knowledge of Member (Subscriber) enrollment & billing - Knowledge of Utilization… more
    FlexStaff (05/14/25)
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  • Outpatient Coder II

    Nuvance Health (Danbury, CT)
    …of changes in codes, coding guidelines and regulations. i? 1/2 Maintains certified coding credentials in accordance with the certified coding requirements ... and demonstrates annual compliance. i? 1/2 Achieves the organization's established expectations with regard to customer service, teamwork and safety. i? 1/2 Responds to all questions regarding diagnoses and procedures with the billing office in a timely… more
    Nuvance Health (05/08/25)
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  • Outpatient Coder II

    Nuvance Health (Danbury, CT)
    …abreast of changes in codes, coding guidelines and regulations. * Maintains certified coding credentials in accordance with the certified coding requirements ... and demonstrates annual compliance. * Achieves the organization's established expectations with regard to customer service, teamwork and safety. * Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner. *… more
    Nuvance Health (04/10/25)
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