- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/ Auditor Trainee 1/ Auditor Trainee 2 (NY HELPS) Occupational Category ... for appointment through NYS HELPS, you must meet the following minimum qualifications: AUDITOR TRAINEE 1:1. Possess a bachelor's degree in accounting, auditing, or… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Civil Service Law, Rules and Regulations.Special Minimum Qualifications for transfer to Auditor 1 (Tax):A bachelor's degree including or supplemented by 24 semester… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for ... includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in… more
- Elevance Health (Woodbridge, NJ)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a leader of positive change. The **Ambulatory Payment Classification (APC) Auditor ** performs all related internal, concurrent, prospective and retrospective coding ... A day in the life of a **Ambulatory Payment Classification (APC) Auditor ** at **Hackensack Meridian** **_Health_** includes: + Assist with developing coding quality… more
- Restaurant Depot (Whitestone, NY)
- REBATE AUDITOR Job Description + Review annual and seasonal marketing/rebate related programs from the buying department for accuracy and completeness + Set up the ... between monies due (calculations) and monies received + File claims with vendors for variances showing monies due +...inquiries + Monitor and follow up on all outstanding claims , or missing information + Monitor reporting for overpayments… more
- Northwell Health (Lake Success, NY)
- …and mitigate compliance risk. Job Responsibility + Reviews data, such as claims detail, coding and medical record documentation to determine compliance with ... appropriate coding and documentation requirements. + Drafts reports detailing coding audit findings. + Assists with billing/documentation and regulatory risk assessments. + Acts as the internal expert on coding issues to ensure compliance with state and… more
- AIG (New York, NY)
- …conduct walkthrough of Tax Authority Audit Adjustments in One Tax for AIG's outside auditor . + Prepare for the future IRS audits including data collection and review ... special projects such as amended tax returns, protective refund claims and refund claims . + Support AIG's...succeed + 6+ years as a tax accountant or auditor at an accounting or law firm, the IRS… more
- AIG (Jersey City, NJ)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to ... successful remediation. The role collaborates with Internal Audit and our external auditor 's to ensure requirements are met through technical controls and findings… more
- AIG (Jersey City, NJ)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to ... concepts, emerging technologies and associated risk + Certified Information Systems Auditor (CISA) or Certified in Risk and Information Systems Control (CRISC).… more
- The Mount Sinai Health System (New York, NY)
- …DRG Appeals Analyst - CDI Liaison is responsible for analyzing medical records, claims data, and coding on all diagnoses and procedures (both medical and surgical) ... HIM team to review denials and coordinate the appeal process. As front-line auditor , reviews cases denied and renders determinations whether or not case is… more
- Vibrant Emotional Health (New York, NY)
- …annual audits - Manage/supervise the general accounting staff in providing external auditor request. + Provide assistance to the Controller with various finance ... 5 years' experience. + Experience in preparing, tracking, and analyzing reimbursement claims for New York City, New York State, Federal or non-governmental funding… more