- 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
- 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
- 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
- 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
- DoorDash (New York, NY)
- …rotation We're excited about you because + 2+ years of experience in secure coding , alert development, and detection engineering. + Experience with a broad range of ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)… more
- Conifer Realty LLC (Rochester, NY)
- …and analyze against annual budgeted amounts, researching and explaining discrepancies. + Coding and processing of corporate invoices accurately and timely. + Process ... general ledger activities. + Assist with coordinating activities of external auditor . + Other corporate accounting related projects, responsibilities as assigned.… more
- DoorDash (New York, NY)
- …+ Familiarity with analyzing business metrics or partner performance (no technical + coding required). We expect this position to be filled by 10/29/25. Notice to ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)… more
- Albany Medical Center (Albany, NY)
- …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... decisions + Develop policies, guidelines, and procedures for pharmaceutical coding , billing, pricing, charging, and denial management to maximize reimbursement… more
- DoorDash (New York, NY)
- …self-serve in SQL and Excel. + Strong nice-to-have's: Python and experience using AI- coding and analytics tools. + You think from first principles. You break down ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)… more
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