- Ankura (New York, NY)
- …audit processes, managing retrospective or prospective Risk Adjustment activities such as Chart Review or In- Home Risk Assessments. + Knowledge of Risk ... clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit , and investigation projects for clients. + Oversee and conduct data… more
- KeyBank (Amherst, NY)
- …must be capable of writing ad-hoc queries to fulfill data requests from business and compliance partners. Responsibilities also include supporting Governance, Risk & ... to end users and key stakeholders. + Interpret findings from data mining processes and communicate findings to senior...of experience in in AML technology, operations, compliance, or audit roles (OR 7+ years of experience in progressively… more
- 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, ... + Participate in the Risk Adjustment Data Validation (RADV) audit , Initial Validation Audit (IVA), and Improper...on a computer. + Ability to work in a home office for continuous periods of time for business… more
- CenterWell (Albany, NY)
- …connection can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will ... Coding Operations works on problems of diverse scope and complexity ranging from moderate to substantial. The **Program Management Lead, Offshore Coding Operations**… more
- East House Corporation (Rochester, NY)
- …Successful recertification/ audit /review of program by regulatory/funding agency + Chart audit results meet standards set by program/regulatory/funding ... Assists manager to ensure the physical environment is free from hazards that could result in injury to either...meals are appropriately maintained during on-duty shifts + Group home or apartments are consistently maintained as safe and… more
- DoorDash (New York, NY)
- …a week onsite ( from our SF, NYC, or Seattle offices) and the rest working from home . You're excited about this opportunity because you will + Be motivated by ... you'll have opportunities to shape our culture and process from the ground up, and work on big, meaningful...with your team to understand the opportunity, and then chart a path forward. + Work cross-functionally with product… more
- TD Bank (New York, NY)
- …such as Alteryx, PowerBi, etc. + Review data elements based on 'Global Chart of Accounts' composition and trace accounting codes to product/business origin to check ... reports being filed. + Continuously develop strong understanding of best practices from regulatory supervisors. + Escalate timely to senior management of errors,… more
- KeyBank (Saratoga, NY)
- …and business accounts (consumer checking, small business, various deposit products, home equity, unsecured lending, certificates of deposit, etc.). + Developing ... of influence. + Ensuring compliance with operational, risk, security and audit procedures and policies including appropriate documentation of client interactions. +… more
- KeyBank (Stone Ridge, NY)
- …and business accounts (consumer checking, small business, various deposit products, home equity, unsecured lending, certificates of deposit, etc.). + Developing ... of influence. + Ensuring compliance with operational, risk, security and audit procedures and policies including appropriate documentation of client interactions. +… more