• Manager of DRG Coding

    Elevance Health (New Hyde Park, NY)
    Manager of DRG Coding Audit -Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated ... eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit ** leads a high-performing team responsible for auditing… more
    Elevance Health (12/05/25)
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  • RN Clinical Appeals Nurse Remote

    Molina Healthcare (Yonkers, NY)
    …2 years of Utilization Review and/or Medical Claims Review experience. Knowledge in coding : DRG , ICD-10, HCPCS codes is highly preferred. Additional experience ... proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified… more
    Molina Healthcare (01/02/26)
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  • Clinical Documentation Integrity Liaison

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …staff, ad hoc, and special project reviews requiring advanced CDI and coding knowledge + Audit medical records to ensureaccurateDRG optimization, severity ... CCDS, RHIA, RHIT) highly valued + Experience with ICD-10-CM/PCS coding / DRG assignmentpreferred + Strong collaboration, communication, and education/training… more
    Memorial Sloan-Kettering Cancer Center (01/03/26)
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