- 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
- YAI (Manhattan, NY)
- …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 Services (CMS), Office of Medicaid Inspector General (OMIG), Department of Health (DOH)), etc. + Develops monitoring tools and checklists for use in internal audits to assess… more
- 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
- Albany Medical Center (Albany, NY)
- …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing ... serve as a subject matter expert in the setting of medication-related compliance billing and charging processes. They are responsible for ensuring the accuracy and… more
- 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 ... by City agencies and adjudicated by the Environmental Control Board. Payments, Billing , and Refunds is responsible for processing payments for property taxes and… more
- 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
- Molina Healthcare (Albany, 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
- 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
- New York State Civil Service (Buffalo, NY)
- …bills to be processed. Create assessment in CARTS system, including proper billing paragraphs. Update the case management system with the posted assessment and ... provide to the assigned auditor . 44. Provide clerical assistance for all offices throughout the division as needed. 45. Complete mandatory employee and/or… more
- Datavant (Albany, NY)
- …+ Ensure coding is completed within established turnaround times to support timely billing . **What You Need to Succeed** + 2+ years of supervisory experience; 3+ ... with ICD-10-CM/PCS and MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. + Associate's degree in Health Information Management, or related… more