- Molina Healthcare (Albany, NY)
- …for Risk Adjustment, RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding . ... This role also works with the Health Plan Risk/ Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as… more
- New York State Civil Service (Rochester, NY)
- …medical and clinical services documentation for Medicaid funding.* Transcribing and coding medical, clinical, and mental health services.* Maintaining databases for ... staff on health information management requirements.* Conducting audits for utilization review activities and reporting deficiencies to the Utilization Review … more
- Molina Healthcare (Rochester, NY)
- …SIU's standards. Position must have thorough knowledge of Medicaid/Medicare/Marketplace health coverage audit policies and be able to apply them in ensuring program ... integrity programs. The position must have the ability to determine correct coding , documentation, potential fraud, abuse, and over utilization by providers and… more
- Calspan (Buffalo, NY)
- …forecasting. + Review and post transactions for purchasing card program. Audit expense reports to ensure compliance with corporate travel policy. + Prepare and ... the world's most visionary innovators have trusted Calspan to deliver high- quality , independent engineering design, testing, and research services. From aerospace to… more