• 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 ... of large sums of money. - Performs work using information available in various phases of the accounting systems, account relationships and established techniques for computing and verifying accounting data. - Examines, analyzes, reconciles, adjusts and… more
    City of New York (05/14/25)
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  • QA Auditor , Appeals and Grievances

    Healthfirst (NY)
    …service appeals utilizing appropriate sources of information; including eligibility, claims , authorizations, service forms, faxes, and any additional information ... required to complete the request. Analyze errors and determine root causes for appropriate classification, trending, and remediation. + Record/track quality assessment scores and provide feedback to reduce errors and improve processes and performance to ensure… more
    Healthfirst (05/02/25)
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  • Clinical Auditor : Appeals and Grievances

    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 to ensure all requests are identified, classified, and fully resolved in a compliant manner. + Review clinical documentation for accuracy, completeness identifying any discrepancies or… more
    Healthfirst (05/02/25)
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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: - ... 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 Bureau of Claims and Reimbursement (BCR) is responsible for the daily… 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)
    …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 ... - Reviewing CBO's independently audited financial statements. - Conducting reviews of monthly claims for reimbursement submitted by CBOs, as part of the NYC Health… more
    City of New York (04/10/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    …This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding ... JOB RESPONSIBILITIES: + Responsible to deliver accurate and timely billing of insurance claims and patient statements for all Sites (12 sites around NYC) as well… more
    CenterLight Health System (05/17/25)
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  • Risk Adjustment Coding Specialist-Excellus Fully…

    Trinity Health (Syracuse, NY)
    …accurate 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 as part of ... payment models. . Identify coding discrepancies and work with risk adjustment auditor /manager to communicate deficiencies to providers. Core Values: . Reverence: We… more
    Trinity Health (05/29/25)
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