• Senior Case Reviewer

    City of New York (New York, NY)
    …THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with ... Administrative Associate, who will function as a Senior Case Reviewer who will: - Conduct legally mandated case reviews...(Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc). Convert audit findings into reports that is presented to Family… more
    City of New York (05/11/25)
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  • NCA Pert Case Reviewer

    City of New York (New York, NY)
    …all statutory, regulatory and contractual standards. Within AO, is the Office of Quality Assurance & Fiscal Integrity conducts complex internal audits and quality ... identify areas of programmatic deficiencies. Within that area is the Process Evaluation Review Team (PERT). The unit analyzes error trends and determines the need… more
    City of New York (05/14/25)
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  • CA Pert Senior Case Reviewer

    City of New York (New York, NY)
    …IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Office of Quality Assurance & Fiscal Integrity ensures the integrity, efficiency, and regulatory ... legal and federal, state and city regulatory requirements. The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with… more
    City of New York (05/14/25)
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  • Coding Quality Coordinator

    Kaleida Health (Buffalo, NY)
    …and execute quality audits, perform data analysis, trending, presentation of audit / review findings, and identify opportunities and develop a training plan ... ** Coding Quality Coordinator** **Location:** Larkin Bldg...the audit analysis, trending, and presentation of audit / review findings, potential issues and identifies opportunities… more
    Kaleida Health (04/17/25)
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  • Inpatient Clinical & Coding Specialist…

    Independent Health (Buffalo, NY)
    …a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. + Knowledge of ICD-10-CM ... knowledge and auditing skills evidenced by their ability to train others, to identify coding patterns and share knowledge and audit tips across the team. The… more
    Independent Health (04/15/25)
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  • Manager Coding - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    … issues. + Ensure coders have the necessary training, education and support. + Review coding audits, identify areas of concern and make recommendations for ... coders (inpatient and outpatient) to ensure effective and efficient coding operations. Also, this role will audit ...experience. + 5 years of hospital-based inpatient and outpatient coding /auditing/chart review experience, with a focus on… more
    Mohawk Valley Health System (04/23/25)
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  • IT Manager, Audit

    CIBC (New York, NY)
    …timely remediation of deficiencies and improvements in controls. Lead, mentor, and manage IT audit staff to deliver high- quality SOX audits. **Who you are** + ... visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **What you'll be doing** The IT Manager, Audit is responsible for the oversight and execution of Internal … more
    CIBC (04/23/25)
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  • Surgical Spine Coder

    Excelsior Orthopaedics Group (Amherst, NY)
    …appropriate use of ICD-10-CM, CPT, and HCPCS codes. + Code Accuracy and Compliance: Review and audit ICD-10-CM, HCPCS, and CPT codes for surgical procedures, E&M ... patients, including inpatient and outpatient procedures. + Medical Record Audits: Audit medical records for accurate coding , ensuring proper documentation… more
    Excelsior Orthopaedics Group (04/29/25)
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  • Risk Adjustment Trainer

    Datavant (Albany, NY)
    …participant materials + Provide support to client relations for trainings needed for client audit findings + Research and analysis of coding error trends What ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...learning to the work environment through various methods + Review client level audits and advise training content to… more
    Datavant (05/07/25)
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  • Medical Records Coder I - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers + ... the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International...+ Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding more
    Mohawk Valley Health System (03/04/25)
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