- Datavant (Albany, NY)
- …Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Need to Succeed:** + 5+ years of… more
- Datavant (Albany, NY)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- SUNY Upstate Medical University (Syracuse, NY)
- Position Overview Responsible for the accurate and compliant coding of inpatient, outpatient, and professional OB/GYN encounters. This position serves as a key ... liaison between coding , clinical, and compliance departments ensuring that all documentation...(Certified OB/GYN Coder) preferred. + CPMA (Certified Professional Medical Auditor ) or CDEO (Certified Documentation Expert - Outpatient) a… more
- University of Rochester (Rochester, NY)
- …two pathways for the Compliance Analyst II (1: Compliance Billing, Coding , and Education Analyst,** **or** **2: Compliance Specialist):** **1: Compliance Billing, ... Coding , and Education Analyst** Provides compliance oversight and support...(CCEP), + Certified Fraud Examiner (CFE), + Certified Internal Auditor (CIA), + Or equivalent professional certification **Knowledge, Skills… more
- WMCHealth (Valhalla, NY)
- …internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of ... documentation and coding and working with providers and staff to ensure...(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s).… more
- Capital One (New York, NY)
- …information, issues and audit progress to teammates, clients and auditor -in-charge. + Perform various aspects of engagement administration, including hours ... innovation, and technology will only make you a better auditor . This will require leveraging the power of data...including 1 year of experience in test scripting or coding (writing, reviewing, or assessing) + At least 2… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. +...year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG, HCPCS, ICD10, etc.). +… more
- Capital One (New York, NY)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... including 1 year of experience in test scripting or testing coding (writing, reviewing, or assessing) **Preferred Qualifications:** + Certifications related to… more
- Coinbase (Albany, NY)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- Molina Healthcare (Rochester, NY)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more