- City of New York (New York, NY)
- …Utilize standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or services rendered to ... all statutory, regulatory, and contractual standards. The Office of Audit Services (OAS) is responsible for the assessment of...Medicaid program as set forth by the Departments of Health , Mental Hygiene, and Social Services. Failure to fill… more
- Albany Medical Center (Albany, NY)
- …based on the requirements of the 340B program. This person will extensively audit prescription claims and report findings while making recommendations for ... for advising, establishing, and helping to implement the outpatient prescription qualification/ audit process in conjunction with the 340B Compliance Specialist. This… more
- Mohawk Valley Health System (Utica, NY)
- …EDUCATOR Department: MEDICAL GROUP ADMINISTRATION Job Summary The Supervisor Coding Audit and Education is responsible for overseeing medical coding accuracy, ... billing, compliance and revenue cycle teams to ensure proper claims submission and resolve coding-related claim rejections and denials....coder, with at least 1 year in a coding audit or educator role. + In-depth knowledge of compliance… more
- City of New York (New York, NY)
- …to oversee the Senior Auditors' performance of the following tasks: - Reviewing draft audit reports of CBOs prepared by DYCD's contracted independent audit firms ... CPA firms. - Evaluating CBO's proposed corrective action plans prepared to address audit findings. - Following up on corrective action plans accepted by DYCD to… more
- WTW (New York, NY)
- …+ **Conduct stewardship client meetings, assist underwriting in their renewal process, audit claims performance against best practices, and implement value added ... **Be responsible for the overall technical, financial, service, and audit performance and results of the partner TPA at...degree or equivalent with ten or more years of claims servicing and technical experience.** + **Knowledge at the… more
- The Estee Lauder Companies (Melville, NY)
- …savings opportunities for the Company. + Oversee and manage the Sales Tax Reverse Audit Claims projects completed by PWC determining those that are viable and ... Successfully manage and negotiate favorable Sales & Use Tax audit settlements and claims for refund with...offers a variety of benefits to eligible employees, including health insurance coverage, wellness and family support programs, life… more
- City of New York (New York, NY)
- Job Description The NYC Department of Environmental Protection (DEP) protects public health and the environment by supplying clean drinking water, collecting and ... surrounding waterways. The mission of DEP's Office of Environmental Health and Safety (OEHS) is to ensure that DEP...a discussion of findings and conclusions. Conduct investigations of claims by DEP employees received through the Employee Concerns… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 100120 University Health Service Work Shift: UR - Day (United States of America) Range: UR ... oversees a variety of financial activities, including accounting, financial analysis, audit , credit, collections and financial risk mitigation for the $18 million… more
- Mount Sinai Health System (New York, NY)
- …or HS Diploma/GED plus two years of related experience. + 3 years of health claims billing experience; prefer experience working with CPT and ICD-10 coding ... Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where...next chapter in our history. **About the Mount Sinai Health System:** Mount Sinai Health System is… more
- New York State Civil Service (Albany, NY)
- …managed care organizations which includes evaluations of financial records and medical claims .* Propose solutions to the audit team regarding issues encountered ... during the audit . * Prepare audit work papers and reports to document scope, findings...and dependents can pick from a variety of affordable health insurance programs.* Family dental and vision benefits at… more
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