• Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators, coordinates ... more years of healthcare experience in revenue cycle management (related to billing , coding, collections for Medicare and Medicaid claims) + Experience with Auditing… more
    Humana (07/29/25)
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  • Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …of the department. + Provides expertise and assistance relative to provider billing and payment guidelines consistent with CPHL policies and procedures and State ... or CMS guidelines. + Performs other duties and special projects as assigned and directed. EDUCATION AND EXPERIENCE: Education Required: BA/BS degree in a financial field or equivalent healthcare experience Preferred: Type of Experience Required: 2+ years of… more
    Centers Plan for Healthy Living (07/15/25)
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  • Call Center Group Chief

    City of New York (New York, NY)
    Job Description IMPORTANT NOTE: ONLY CANDIDATES WHO HAVE A PERMANENT CITY TAX AUDITOR CIVIL SERVICE TITLE WILL BE CONSIDERED FOR AN INTERVIEW. PLEASE INCLUDE YOUR ... COVER LETTER IF YOU ARE A PERMANENT CITY TAX AUDITOR . NYC Department of Finance (DOF) is responsible for...agencies and adjudicated by the Environmental Control Board. Payments, Billing , and Refunds is responsible for processing payments for… more
    City of New York (07/26/25)
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  • Dir, Research Compliance

    University of Rochester (Rochester, NY)
    …functions. Directs the Office of Research Compliance for clinical research billing compliance, sponsored program financial compliance, and development and oversight ... FUNCTIONS** + Supervises staff to review and approve the billing plans/budgets for all clinical research studies and ensure...Accountant (CPA) upon hire preferred or + Certified Internal Auditor (CIA) upon hire preferred or + CHC -… more
    University of Rochester (07/18/25)
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  • Specialist, Configuration Oversight

    Molina Healthcare (NY)
    …conducting various audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims....& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
    Molina Healthcare (07/18/25)
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  • Staff Accountant

    Adelphi University (Garden City, NY)
    …reconciling general ledger accounts, analyzing financial data, assisting with tuition billing analysis and assisting in month end closings and year-end audits. ... charges. + Create, input and maintain Excel spreadsheet related to tuition billing tables. + Assist in monitoring fund balances, restricted accounts and project… more
    Adelphi University (08/01/25)
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  • Senior Government Accounting Manager

    GE Aerospace (Schenectady, NY)
    …Lead + Develop, review, and publish indirect overhead and direct labor pricing, billing , and final (ICS) rates + Support ICS and proposal audits + Implement ... monthly cost monitoring to ensure accuracy of pricing and billing rates + Build open and positive relationships with...with senior DCMA (ACO, DACO, CACO) and DCAA (supervisory auditor , Branch Manager, Regional Audit Manager). + Experience with… more
    GE Aerospace (06/17/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …EHR by the providers to claims being submitted for their services. Using billing system work queues and natural language processing (NLP) tools to support addressing ... payment models. . Identify coding discrepancies and work with risk adjustment auditor to communicate deficiencies to providers. **Core Values:** . Reverence: We… more
    Trinity Health (07/31/25)
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  • Scheduling Administrative Assistant

    Enhanced Protection Services (New York, NY)
    …Administrative Assistant. The Scheduling Administrative Assistant will be the primary auditor of timesheets and exemptions for all field employees. The Scheduling ... to scheduling data to identify and resolve discrepancies + Confirm the proper billing information is sent out to the client, taking into consideration schedules,… more
    Enhanced Protection Services (07/10/25)
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  • Accounts Receivable Specialist

    Brighton Health Plan Solutions, LLC (New York, NY)
    …reconciliation of bank accounts and month-end reporting. + Manage the tracking and billing of all pass-through vendor fees, ensuring accurate and timely invoicing to ... to cash receipts and payables. + Support other accounting team members and auditor requests. Essential Qualifications + Bachelors degree. + 2-3 years of experience… more
    Brighton Health Plan Solutions, LLC (07/08/25)
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