Independent Health
Independent Health

60 Independent Health Provider Relations Representative Jobs Hiring Near You

Clinical Reviewer

Buffalo, NY · On-site

$38 - $41/hr

... and provide education to members and providers. In addition, they will initiate ancillary ... As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will ...

$115 - $155/hr

Ensure that all UM decisions represent services that are medically necessary. * Ensure all UM ... Serve on Independent Health committees as appropriate or as designated by Medical Director.

Care Navigator

Buffalo, NY · On-site

$19/hr

... questions, provider selection, health improvement, identification of care resources, and ... As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will ...

New

Pharmacy Technician

Williamsville, NY · On-site

$22.50 - $24.50/hr

Immigration or work visa sponsorship will not be provided for this position Hiring Compensation ... As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will ...

Support cross-functional projects, represent the quality assurance team at meetings, review ... As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will ...

Develop a plan of care based upon the patient and providers of care clinical assessments ... As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will ...

$33.50 - $38/hr

In this role, the Case Manager will provide transition of care support to Independent Health members following discharge from a Catholic Health facility. The successful candidate will engage members ...

Pharmacy Technician

Buffalo, NY · On-site

$22.50 - $24.50/hr

Immigration or work visa sponsorship will not be provided for this position Hiring Compensation ... As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will ...

Case Manager

Buffalo, NY · On-site

$33.50 - $38/hr

In this role, the Case Manager will provide transition of care support to Independent Health members following discharge from a Catholic Health facility. The successful candidate will engage members ...

$20/hr

Overview The Servicing Representative is a customer service professional who will display ... As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will ...

New

$33.50 - $38/hr

Ability to recalculate reimbursement following conclusion of audit in accordance with corporate provider contracts and/or Independent Health policy and procedures. * Autonomous/independent worker ...

$22.50 - $27.50/hr

Frequent review of Independent Health policies, contracts, clinical documentation, claims systems ... provider satisfaction. * Attend assigned meetings as department representative and report to team ...

New

Provide documentation for software changes and new software. * Collaborate with trading partners and Independent Health to establish a Secure File Transfer Protocol (SFTP) connection. * Collaborate ...

Showing results 21-40

Independent Health Jobs Information

Do workers at Independent Health get paid breaks?

No. Most people don’t get paid breaks.
83% of people say they don’t get paid breaks.
Based on data from 6 people who took the Breakroom Quiz between January 2025 and April 2026.

Does Independent Health pay people when they’re sick?

Yes. Most people get paid when they’re sick.
100% of people say they would get paid if they were sick but scheduled to work.
Based on data from 8 people who took the Breakroom Quiz between January 2025 and April 2026.

Is the health insurance from Independent Health affordable enough for their workers?

Most people say the health insurance costs are okay.
75% of people say the health insurance costs are okay
Based on data from 8 people who took the Breakroom Quiz between April 2025 and April 2026.

Do workers at Independent Health worry about hours?

Most people don’t worry about getting enough hours.
80% of people report they don’t worry about getting enough hours.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and February 2026.

How easy is it to get time off at Independent Health?

Most people find it easy to get time off.
89% of people report it’s easy to get time off.
Based on data from 9 people who took the Breakroom Quiz between January 2025 and April 2026.

Do jobs at Independent Health spill into time workers aren’t paid for?

Sometimes. The job can spill into unpaid time.
40% of people report that their job takes up time that they don’t get paid for.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and February 2026.

How easy is it to take sick days at Independent Health?

Most people find it easy to take sick days.
89% of people report that it’s easy to take time off if they are sick.
Based on data from 9 people who took the Breakroom Quiz between January 2025 and April 2026.

Is working at Independent Health good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
100% of people who care for a child or other relative report this is a good place to work.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and April 2026.

Do people at Independent Health feel treated with respect by their managers?

Most people feel treated with respect by their managers.
75% of people say they’re treated with respect by their managers.
Based on data from 8 people who took the Breakroom Quiz between January 2025 and April 2026.

Do people at Independent Health get to take their breaks without interruption?

Most people get breaks without interruption.
86% of people report that they get to take their breaks without interruption.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and April 2026.

Is it stressful to work at Independent Health?

Most people feel stressed out here.
78% of people say they often feel stressed out at work.
Based on data from 9 people who took the Breakroom Quiz between January 2025 and April 2026.

Do people at Independent Health enjoy their jobs?

Most people enjoy their job.
100% of people report they enjoy their job.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and April 2026.

Do people at Independent Health recommend working with their team?

Most people recommend working with their team.
67% of people report that they would recommend working with their immediate team to a friend.
Based on data from 9 people who took the Breakroom Quiz between January 2025 and April 2026.

Do people get enough training when they start at Independent Health?

Most people got enough training when they started.
75% of people report they got enough training when they started working here.
Based on data from 8 people who took the Breakroom Quiz between January 2025 and April 2026.

Do people get support to advance at Independent Health?

Most people are given support to advance their career here.
In the last year, 75% of people report being given support to advance their career here.
Based on data from 8 people who took the Breakroom Quiz between January 2025 and April 2026.

Do people think Independent Health’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
75% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 8 people who took the Breakroom Quiz between January 2025 and April 2026.

Do workers feel well informed about how Independent Health is doing?

Only some people feel well informed about how the company is doing.
44% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 9 people who took the Breakroom Quiz between January 2025 and April 2026.
Infographic showing various Provider Relations Representative job openings at Independent Health in the United States as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 77% Physical, and 23% Remote job distribution.

Clinical & Coding Specialist-Senior

Independent Health

Buffalo, NY • On-site

$33.50 - $38/hr

Other

PTO

Re-posted 13 days ago


Independent Health rating

8.1

Company rating: 8.1 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

151st of 307 rated insurance


Job description

FIND YOUR FUTURE
We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.
Overview
The Clinical & Coding Specialist-Senior will be responsible for reviewing coding and clinical decisions on cases involving complex clinical presentation with correlating coding complexity. They will aid in training other team members, evaluating appeals, and share audit trends across the team. Expertise and proficiency demonstrated by long-standing, consistent results, advanced coding knowledge and auditing skills evidenced by their ability to train others, to identify coding patterns and share knowledge and audit tips across the team. The Clinical & Coding Specialist-Senior will support the leadership in Hospital Audit in accomplishing all aspects of the audit plan
Qualifications
  • Associates degree required. Bachelor's degree preferred. An additional two (2) years of experience will be considered in lieu of degree.
  • Minimum of one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals Management (C-DAM), or NYS licensed RN or LPN required. LPN or RN preferred.
  • Four (4) years of experience working in 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 and ICD-10-PCS coding systems, as well as respective reimbursement methodologies associated with each coding system preferred.
  • Experience and proficiency reviewing health care delivery against clinical quality, as well as financial established guidelines.
  • Analytical and critical thinking skills. Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to prepare quantitative and qualitative studies at conclusion of audit. Ability to recalculate reimbursement following conclusion of audit in accordance with corporate provider contracts and/or Independent Health policy and procedures.
  • Autonomous/independent worker, minimal supervision, including process management skills. Subject matter expert in all coding systems and/or inpatient clinical expertise.
  • Ability to serve as effective team member of cross-functional teams and/or proven ability to facilitate teams and foster collaboration internally and externally.
  • Understanding of organizational business strategies as well as audit and reimbursement related business strategies.
  • Organizational skills, verbal & written communication skills with ability to effectively communicate with personnel and providers externally.
  • PC/Windows skills with proficiency in Microsoft Word and Excel. Experience with remote access - citrix, VPN, external EMR access.
  • Knowledge of facility contract reimbursement policies.
  • Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative, and Accountable.
Essential Accountabilities
  • Assume role of project manager as it relates to the re-engineering of the hospital audit process.
  • Responsible for the ongoing management of Inpatient Medical Admission and Readmission audits to include trends of clinical findings and financial recoupment statistics.
  • Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding compliance with industry standard ICD-10-CM and ICD-10-PCS coding guidelines and financial policies/contracts.
  • Responsible for all reconsideration clinical appeals to include review of records, consultation with Medical Director, response to facilities as well as coordination of all aspects of these functions for external review agent process (Dispute Resolution Agency).
  • Serve as the subject matter expert for each audit to include internet research of industry standards (clinical/coding), that may be used to assist in the creation or revision of Independent Health policies and procedures.
  • Prepare and present audit results as needed, to various levels of internal senior leadership for approval of financial recoveries, provider education, and/or recommendation for next steps.

Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $33.50 - $38.00 hourly
Compensation may vary based on factors including but not limited to skills, education, location and experience.
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant's race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here for additional EEO/AAP or Reasonable Accommodation information.
Current Associates must apply internally via the Job Hub app.

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