• Risk Adjustment Coding Coordinator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …data validation (RADV) audits. Essential Accountabilities: Level I + Conducts chart reviews and audits utilizing knowledge and experience of ICD-10-CM coding, ... bodies. + Participate in the Risk Adjustment Data Validation (RADV) audit , Initial Validation Audit (IVA), and Improper Payment Measure (IPM) audit . +… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Albany, NY)
    …platforms, and third party integrations. + Balance innovation with compliance, audit defensibility, and clinical integrity across all product decisions. **Execution ... and monitor processes that ensure defensibility of all outputs, documentation standards, and audit trails. + Design and embed audit readiness into product… more
    Datavant (08/08/25)
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  • Registered Nurse

    Finger Lakes Community Health (Port Byron, NY)
    …as liaison between patient and provider when needed Medical Record Maintenance + Chart services in patient record including but not limited to: + Referrals, ... lab orders/results, patient care goals, patient history, vitals + Audit progress notes to ensure all patient history and...have been taken and noted by nursing staff + Chart and lock notes within timely manner in accordance… more
    Finger Lakes Community Health (10/24/25)
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  • Senior IT Governance Analyst

    KeyBank (Albany, NY)
    …Operational Risk, Enterprise Risk, Technology Risk, Information Security Risk, External/Internal Audit or in the technology or information security lines of ... business. + Bachelor's Degree or equivalent experience. + Outstanding active listening skills + Demonstrated ability to work with internal and external auditors and regulators. + Ability to think strategically coupled with the ability to drive to execution +… more
    KeyBank (09/19/25)
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  • Site Medical Director II

    YesCare Corp (Coxsackie, NY)
    …expertise. **Key Responsibilities** + **Administrative Duties:** + Chair the Medical Audit Committee, ensuring quality standards are upheld. + Consult with community ... initiatives, including patient complaints, infection control, peer review, and chart audits. + Oversee referrals to external healthcare facilities, ensuring… more
    YesCare Corp (09/11/25)
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  • Awake Overnight Counselor

    East House Corporation (Rochester, NY)
    …client medications and ensure documentation is consistent with medication changes. + Audit medication book as directed by the immediate supervisor. Results Measures: ... defined by regulators, funders, and East House policies and procedures. + Perform chart audits as assigned by the immediate supervisor. Results Measures: + Meets… more
    East House Corporation (08/20/25)
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  • Clinical Quality Specialist

    Access: Supports For Living (Mount Vernon, NY)
    …Mental Health and the Office of Alcohol and Substance Use services. + Conducts chart audits, electronically and paper, and ensures follow through to close audit . ... and regulations. + Assists with Incident Review Committee and Compliance and Audit Committee meeting preparation and facilitation. + Facilitates initial and annual… more
    Access: Supports For Living (10/25/25)
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  • Payment Integrity DRG Coding & Clinical Validation…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Level I . Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. Draws on advanced ICD-10 coding expertise. Clinical...and claims processing platform. . Manages case volumes and review/ audit schedules, prioritizing case load as assigned by Management.… more
    Excellus BlueCross BlueShield (10/23/25)
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  • Finance Modernization Experienced Manager

    Grant Thornton (New York, NY)
    …Data Analysis & Reconciliation + Working knowledge of Close-the-books, Chart -of-Accounts, Treasury, Financial Planning and Analysis & Financial Benchmarking + ... a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors...tax practice, as well as independent American and Irish audit practices. With $2.7 billion in revenues and more… more
    Grant Thornton (10/22/25)
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  • Lead Teller

    KeyBank (Rochester, NY)
    …scheduling, staffing issues and branch compliance with regulatory, security, and internal audit controls. At KeyBank, we believe it's our opportunity and our ... in morning huddles and end of day debriefs + Follows compliance, audit , and security procedures, balances cash drawer within balancing guidelines + Manage… more
    KeyBank (10/04/25)
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