- CVS Health (Albany, NY)
- …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
- Mount Sinai Health System (New York, NY)
- …and related professions). + Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount… more
- Capital One (New York, NY)
- …make you a better auditor . This will require leveraging the power of data analytics and furthering your technical expertise. + You're a teacher. You do the right ... Principal Auditor - Cyber, Risk and Analysis Technology Audit...is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in ... impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the...at the forefront of regulatory adherence, risk mitigation, and quality improvement. Ready to make a difference in healthcare… more
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- Molina Healthcare (Albany, NY)
- …Provides support for claims audit activities including identification of incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and claims ... using standard principles, and state-specific regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +… more
- Datavant (Albany, NY)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma… more
- Capital One (New York, NY)
- …make you a better auditor . This will require leveraging the power of data analytics and furthering your technical expertise. + You're a teacher. You do the right ... function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are… more
- SUNY Upstate Medical University (Syracuse, NY)
- …providing ongoing education to OB/GYN providers and clinical staff on documentation quality , coding updates, and best practices to optimize compliance and ... Position Overview Responsible for the accurate and compliant coding of inpatient, outpatient, and professional OB/GYN encounters. This position serves as a key… more
- Capital One (New York, NY)
- …make you a better auditor . This will require leveraging the power of data analytics and furthering your technical expertise. + You're a teacher. You do the right ... function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit professionals are… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
- Coinbase (Albany, NY)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... * Solid analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written and verbal communication… more