- Molina Healthcare (Buffalo, NY)
- …functions. These functions include, but may not be limited to: chart retrieval strategy, risk adjustment retrieval performance, process effectiveness, market ... performance, project build, chart retrieval maximization and risk adjustment compliance. Molina Risk...people management experience * Minimum 5 years Risk adjustment audit /RADV experience * Demonstrated knowledge of and experience with… more
- University of Rochester (Rochester, NY)
- …+ Completes clinic record review forms and audits such as operating room sterility audit and Faculty Practice chart review. Completes patient encounter forms for ... billing of services rendered, requisitions for laboratory tests and prepares prescription forms for medications or fluoride therapy and obtains Dentist's signature. + Cleans and disinfects operatory after each procedure. Disinfects, bags and seals ultrasonic… more
- Molina Healthcare (Albany, NY)
- …Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and ... other state specific audit projects and deliverables related to accurate billing and...training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data, and chart … more
- CBRE (Albany, NY)
- …Regulations Supplement (DFARS), Cost Accounting Standards (CAS), Defense Contract Audit Agency (DCAA) requirements, Sarbanes-Oxley (SOX), and other applicable laws ... matter expert, the manager partners with finance, contracts, internal audit , and operations leaders to strengthen internal controls, reduce...our people. At CBRE, you have the opportunity to chart your own course and realize your potential. We… more
- KeyBank (Amherst, NY)
- …projects and testing. The Senior Manager must have a strong understanding of audit and/or testing concepts and apply those to testing, monitoring, issues management, ... within Key including the lines of business, other risk management teams and internal audit . **Essential Job Functions** + Lead and manage a team of operational risk… more
- Ankura (New York, NY)
- …clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit , and investigation projects for clients. + Oversee and conduct data ... + 8+ years of experience in Medicare Risk Adjustment operations, internal audit , or compliance either within industry or similar work related work in… more
- WMCHealth (Suffern, NY)
- …to assure completion of critical to quality work which includes audits, rounds, chart abstraction, tracers, and investigation of events. As a highly visible leader, ... and processes. Responsibilities: . Performs required CMS, NYDOH, TJC and other chart abstraction. . Reviews, and as appropriate, investigates actual or potential… more
- Ellis Medicine (Schenectady, NY)
- …plans. Assists with ordering durable medical equipment. Prints/copies sections of the chart to fax or send to accepting agencies/facilities to ensure continuation of ... available in the area. Documents discharge planning activities in the chart . Assists Case Manager with medication prior authorizations. Provides Medicare Important… more
- Win (Women In Need) (Staten Island, NY)
- …and Rehousing Enterprise System (CARES) database, review essential documentation, and monitor chart maintenance for OTDA, DHS, and Win audit readiness. + ... and training related to their responsibilities in maintaining the Uniform Client Chart . + Ensure Case Managers maintain current and accurate confidential case… more
- KeyBank (Amherst, NY)
- …of 5-7 years of experience in in AML technology, operations, compliance, or audit roles (OR 7+ years of experience in progressively more responsible technology or ... management. + Experience interfacing with stakeholders in lines-of-business, risk management, audit , and regulatory discussions. + Ability to develop and maintain… more