- 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
- Molina Healthcare (Syracuse, NY)
- JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, ... waste, overpayments, and claims processing errors. **Essential Job Duties** + Audits the...errors. **Essential Job Duties** + Audits the adjudication of claims using standard principles, and state-specific regulations to identify… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims submitted against medical records provided,… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure ... correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the… more
- Humana (Albany, NY)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- Northwell Health (Lake Success, NY)
- **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in ... Chappaqua, NY 3 days a week. Surgical Anesthesia Compliance Auditor - Hybrid position- Chappaqua, NY- $100K-$115K Are you passionate about healthcare compliance and… more
- City of New York (New York, NY)
- …and to stop payments of checks. - Review documentation submitted by staff to support claims and determine if information submitted is accurate. - Monitor unit ... and Reporting (DAPR) is responsible for the employee expense claim processing, auditing, and data entry. The Office of...(1) Clerical Associate III to function as an Expense Auditor , who will: - Audit and approve payments for… more
- Ontario ARC (Canandaigua, NY)
- …USA | Hourly | 21.60-23.00 per hour | Full Time The Arc Ontario Internal Auditor - Programs Salary: $21.60 - $23.00 Position Overview: We're looking for an Internal ... Auditor to join our team and help ensure our...and run efficiently. In this role, you'll audit billing claims , review Individual Service Plans, conduct site visits, and… more
- Amazon (New York, NY)
- …support and ongoing financial and risk analysis. - Support ongoing actuarial support for outside auditor review of financial estimates and results. -Design ... are refreshed monthly and provided quarterly for forecasting and planning - Support month end financial and accounting processes for relevant actuarial estimates.… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Participate in departmental meetings, provider onboarding sessions, and compliance training. + Support revenue cycle teams in addressing claim denials, coding ... COBGC (Certified OB/GYN Coder) preferred. + CPMA (Certified Professional Medical Auditor ) or CDEO (Certified Documentation Expert - Outpatient) a plus. Experience:… more