- Verint Systems, Inc. (Albany, NY)
- …Monitor, track and effectively respond to escalations regarding benefit programs or claims issues + Conduct audits on benefit enrollments and employee deductions as ... needed to ensure accuracy + Audit , review and process all benefit invoices + Assist...including health insurance, retirement plans, and other benefits + Audit benefits data, costs, and utilization to identify areas… more
- Trinity Health (Syracuse, NY)
- …with educational needs determination and communication to the Supervisor, RA Coding & Audit . Key contributor duties related to CCD/HCC and other Risk Adjustment ... improvement to the Supervisor of Risk Adjustment Coding & Audit to develop and implement provider documentation improvement plans....diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system… more
- Marc Jacobs (New York, NY)
- …Senior Manager will be the primary leader of the month end closing, audit defense and limited financial reporting. RESPONSIBILITIES : + Contributes actively to the ... working with the company insurance representative periodically reviewing requirements to file claims , declare new locations or close existing locations + Assists the… more
- City of New York (New York, NY)
- …records in the MAESTRO and City/State databases are accurately calculated, that claims are solely processed for injury-related Medicaid expenses paid for by NYC, ... documents are correct and complete in the record - Audit workspace/queue of cases processed by Medicaid Settlement Unit...Departments Review. - Approve monthly statistical reports and field audit reports to ensure that field time is used… more
- City of New York (New York, NY)
- …respective funding streams and carry out cost avoidance projects to minimize audit disallowances. The Office of Revenue Management and Development (ORMD) is ... in regular staff meetings. - Suggest remedial solutions that will minimize audit findings with an objective for maximizing potential Federal and State reimbursement… more
- City of New York (New York, NY)
- …systems and tools to support public health research and analysis to ensure claims submitted to the Grantors are accurate and timely. - Assist in coordinating ... provide recommendation for improvements. - - Oversee closeout and audit on public health research activities. - Respond to... on public health research activities. - Respond to audit requests and findings, hearings, etc. - Participate in… more
- Mohawk Valley Health System (Utica, NY)
- …EDUCATOR Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is responsible for overseeing medical coding accuracy, ... billing, compliance and revenue cycle teams to ensure proper claims submission and resolve coding-related claim rejections and denials....coder, with at least 1 year in a coding audit or educator role. + In-depth knowledge of compliance… more
- Lineage Logistics (Conklin, NY)
- …trailers, appointments, and item movement for Operations leadership review. + Audit orders for inventory discrepancies, discontinued items, and incorrect item ... system development. + Provide daily support for clubs and stores on product claims , delivery delays, and cold chain compliance in coordination with Walmart Legal. +… more
- Northern Rivers Family Services (Albany, NY)
- …and medication reviews are scheduled and covered. + Oversee connection documentation- audit monthly. + Audit program and nursing adherence to regulations ... REMS documentation. + Billing - go through invoices and approve/disapprove insurance claims . + Schedule nursing shifts and on call schedules for physicians and… more
- Healthfirst (NY)
- …job aids, regulatory requirements, and case documentation including eligibility, claims , authorizations, faxes, and any additional information required to complete ... the audit . + Review and investigate appeals and grievances requests...and production goals. + Maintains tracking tools to log audit results including areas of non-compliance and informing what… more