• Food Safety & Food Quality Auditor…

    Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
    …required. + Auditor Certification required (ie American Society for Quality - Certified Food Safety & Quality Auditor , Certified Supplier Quality ... product specifications, allergen forms, weight and tare information, and other product claims , as applicable. + Maintain accurate supplier information in the QMS… more
    Boar's Head Brand/Frank Brunckhorst Co., LLC (07/01/25)
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  • Staff Auditor

    City of New York (New York, NY)
    …license issued by the New York State Education Department; or (C) a valid Certified Internal Auditor certificate issued by the Institute of Internal Auditors ... standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or...a Certified Public Accountant license; or a Certified Internal Auditor certificate, as described in… more
    City of New York (06/28/25)
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  • Billing Auditor for Shared Services

    Planned Parenthood of Central and Western NY (Rochester, NY)
    …of education and experience + Certified Professional/Medical Coder or Certified Professional Medical Auditor desired Experience- + Minimum three years ... Billing Auditor for Shared Services Fully Remote * Rochester,...70% Auditing and Corrective Action + Evaluates charge capture, claims scrubbing and sliding fee discount practices to ensure… more
    Planned Parenthood of Central and Western NY (07/25/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    … Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
    Highmark Health (05/09/25)
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  • Administrative Claims Preparer

    City of New York (New York, NY)
    …relating to cost allocation. The Finance Office is recruiting for one (1) Management Auditor II to function as an Administrative Claims Preparer who will: - ... submitted to State Agencies by using the NYS Automated Claim System (ACS). Claims for Federal and...New York State Education Department; or (C) a valid Certified Internal Auditor certificate issued by the… more
    City of New York (06/03/25)
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  • Deputy Director - Office of Contract Agency Audits

    City of New York (New York, NY)
    …license issued by the New York State Education Department; or (C) a valid Certified Internal Auditor certificate issued by the Institute of Internal Auditors ... independently audited financial statements. - Conducting reviews of monthly claims for reimbursement submitted by CBOs, as part of...a Certified Public Accountant license; or a Certified Internal Auditor certificate, as described in… more
    City of New York (07/10/25)
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  • Attorney Auditor

    Sedgwick (Rochester, NY)
    …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
    Sedgwick (07/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (07/17/25)
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  • Auditor

    Amentum (Albany, NY)
    …on individuals, business entities, and assets. + Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns. + Design and run ... trends and patterns. + Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS,...facility credentials/authorization at this work location. + Must be Certified Public Accountant. MBA or equivalent in accounting or… more
    Amentum (07/08/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and reporting… more
    Humana (07/29/25)
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