- Molina Healthcare (Syracuse, NY)
- … department initiatives to improve overall claims function efficiency. + Meets claims audit department quality and production standards. + Completes basic ... JOB DESCRIPTION Job Summary Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...keep up to date with departmental changes in conducting quality reviews. + Ensure the consistent use of current… 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)
- …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
- 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
- Northwell Health (Lake Success, NY)
- …and support proper billing and coding - Audit anesthesia records focusing on quality , completeness, and correctness of claims based on services provided - ... **Req Number** 172252 Surgical Anesthesia Compliance AuditorCompliance Auditor MUST HAVE CPC CERTIFICATON This is a HYBRID position- MUST be in the office located in… 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
- City of New York (New York, NY)
- …We provide sidewalks, street reconstruction, water mains, sewers, and pedestrian ramps quality infrastructure that is essential for a healthy, resilient city. To ... 4500 payment requests annually. DDC seeks a Capital Payment Auditor to review and process these payment requisitions. To...(in FMS3); and adjust payment voucher(s) due to liens, claims and assignments. The candidate will use the DDC… more
- Insight Global (Schenectady, NY)
- Job Description Job Overview The Supplier Quality Engineer manages the quality performance of assigned suppliers across the North Americas region. This role ... ensures product and part qualification, drives quality improvements, leads audits, supports inspections, and resolves ...drive supplier process improvements * Manage NCRs, SNs, warranty claims , and SDRs; act as first technical interface to… more
- US Tech Solutions (Schenectady, NY)
- …trends. + Manage - Supplier non-conformance NCRs and Service Notices (SN), Provide quality disposition on warranty claims and supplier recoveries, and Supplier ... notice. Travel > 50% **Job Description:** + The Supplier Quality Engineer is responsible for managing quality ...Nuclear Industry Standards - N299.2, N299.3 + ISO Lead auditor certified by 3rd party registrar or accepted internal… more
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