- M&T Bank (Buffalo, NY)
- …+ Lead and participate in audits from planning to reporting and produce quality deliverables in accordance with the Division's methodology and professional standards ... while ensuring timely completion. + Plan and execute other assurance activities (including continuous auditing, product delivery assessments, validation procedures, investigations, and retrospective reviews) utilizing modernized assurance methodologies, tools,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable ... regulations or guidelines and professional coding and billing audits. Duties/Responsibilities: Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable… more
- YAI (Manhattan, NY)
- …+ Implements the organization's compliance program under the supervision of the Assistant Director of Corporate Compliance and in coordination with program staff. + ... Maintains up to date knowledge of laws and regulations governing the documentation and billing of YAI services including, but not limited to State regulatory agencies (Office for People with Developmental Disabilities (OPWDD), Centers for Medicare and Medicaid… more
- Humana (Albany, NY)
- …The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds ... **Become a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (eg,… more
- UNUM (Albany, NY)
- …+ Act as a mentor/coach to develop, challenge, empower, and share knowledge with team members within Global Audit, where applicable, to achieve results and seek ... When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this… more
- Molina Healthcare (Buffalo, NY)
- …**Job Summary** Develops, recommends and implements controls and cost-effective approaches to minimize the organization's risks effects. Identifies and analyzes ... potential sources of loss to minimize risk and estimates the potential financial consequences of an occurring loss. Through the proper combination of casualty and liability insurance, ensures that the provider organization is adequately protected against… more
- M&T Bank (Buffalo, NY)
- …+ Lead and participate in audits from planning to reporting and produce quality deliverables in accordance with the Division's methodology and professional standards ... **THIS ROLE WILL NEED TO BE HYBRID 3 DAYS/WEEK OUT OF: BUFFALO NY, BRIDGEPORT CT, or WILMINGTON DE** **Overview:** + Leads and executes audits over the Bank's Information Technology (IT) Engineering, Operations, Governance, Risk Management and Architecture… more
- Lineage Logistics (Conklin, NY)
- …+ Audit and review incoming and outgoing loads to verify quantity, type, and condition of materials. + Record and report accurate data on materials received, stored, ... Apply today to learn more about joining our team! **Shift:** 5AM - 1:30PM - Sunday - Thursday **Pay:** $16-$20/hr DOE Responsible for auditing, verifying, and documenting materials transported to and from the warehouse. This role supports inventory accuracy… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims. Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and CPHL established guidelines and/or policies and procedures. Provides feedback or suggestions to enhance current processes and/or systems; works under general supervision. PRIMARY RESPONSIBILITIES: +… more
- Northwell Health (Garden City, NY)
- …Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Validates Acute Inpatient ... coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI… more