• Claims Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    …teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
    Centers Plan for Healthy Living (07/15/25)
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  • Billing Auditor for Shared Services

    Planned Parenthood of Central and Western NY (Rochester, NY)
    Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... empowers individuals and families. With respect. Without judgment.No matter what. In support of PPCWNY's mission and the collaboration with Shared Services, the… more
    Planned Parenthood of Central and Western NY (07/25/25)
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  • Staff Auditor

    City of New York (New York, NY)
    …of Medicaid Providers. Utilize standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or ... Job Description APPLICANTS MUST BE PERMANENT IN THE MANAGEMENT AUDITOR CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. IF… more
    City of New York (06/28/25)
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  • Nurse Auditor 2

    Humana (Albany, NY)
    …and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation… more
    Humana (08/08/25)
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  • Internal Auditor

    New York State Civil Service (Albany, NY)
    NY HELP No Agency SUNY System Administration Title Internal Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C - ... based in Albany and New York City, provide critical support for SUNY campuses, employees, and students to advance...Conducts the audit under the supervision of a senior auditor by performing various tests, reviews, reconciliations, and evaluations… more
    New York State Civil Service (06/24/25)
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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 ... detect anomalous billing trends and patterns. + Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS, Business Objects, and other… more
    Amentum (07/08/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
    Humana (07/29/25)
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  • Internal Auditor

    City of New York (New York, NY)
    …reports. - Participates in and reviews the processing of fiscal documents, claims , financial statements, and the accounting for the receipt, deposit and disbursement ... managerial lump sum payments and updating agency policies and procedures. - Support audits, reviews, and inspection/salvage of electronic equipment. - Respond to… more
    City of New York (07/05/25)
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  • Deputy Director - Office of Contract Agency Audits

    City of New York (New York, NY)
    …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE MANAGEMENT AUDITOR CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. CANDIDATES MUST STATE THE TITLE ... develop and maintain a strong financial infrastructure to enable and support the delivery of high-quality, effective, and impactful contracted services. The… more
    City of New York (07/10/25)
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  • Risk Adjustment Coding Specialist -St. Peter's…

    Trinity Health (Albany, NY)
    …ICD-10-CM codes for diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system work queues and natural ... language processing (NLP) tools to support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. . Demonstrate a solid understanding of… more
    Trinity Health (07/31/25)
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