• Risk Adjustment Auditor Educator - St.…

    Trinity Health (Albany, NY)
    …toward the improvement and integrity of clinical documentation through the role of auditor and educator to support the healthcare systems participation in the ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Adjustment Auditor Educator** -St. Peter's Health Partners - Full-time - Remote… more
    Trinity Health (07/29/25)
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  • Billing Auditor for Shared Services

    Planned Parenthood of Central and Western NY (Rochester, NY)
    Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… more
    Planned Parenthood of Central and Western NY (07/25/25)
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  • Professional Coding Educator/ Auditor

    Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
    …may substitute for education requirement. 6 years of related experience in a healthcare setting, with 2 years experience in auditor role. Certified Professional ... JOB TITLE: Professional Coding Educator/ Auditor DEPARTMENT: Billing Department STATUS: Full Time (Non-...Medical Group, we are dedicated to delivering outstanding, quality healthcare across our community and beyond. Our large and… more
    Premier Medical Group of the Hudson Valley (06/13/25)
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  • Inpatient DRG Quality Auditor

    Humana (Albany, NY)
    …a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...**great attention to** **detail** **and have** **a passion for healthcare ? Do you have a solid background in medical… more
    Humana (07/25/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Albany, NY)
    …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
    Datavant (08/01/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (07/17/25)
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  • Auditor , Risk Adjustment (Remote)

    Molina Healthcare (Buffalo, NY)
    …for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare ... is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $128,519 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
    Molina Healthcare (07/25/25)
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  • REMOTE Outpatient Facility Auditor

    TEKsystems (New York, NY)
    Description The Outpatient Facility Auditor is integral to maintaining coding accuracy and compliance with our standards. This role involves conducting detailed ... delivering quarterly educational sessions on code updates and rule changes. The auditor collaborates closely with the coding team, providing continuous education and… more
    TEKsystems (08/02/25)
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  • Trainer/ Auditor

    Centers Plan for Healthy Living (Staten Island, NY)
    Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and ... and training by monitoring the field staff on a monthly basis. The Trainer/ Auditor will provide oversight of the field staff. He/she will bring back observations… more
    Centers Plan for Healthy Living (07/15/25)
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  • Auditor

    Amentum (Albany, NY)
    …research on individuals, business entities, and assets. + Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns. + Design ... briefings and written reports to AUSAs on findings from healthcare data analytics. + Support development of internal best...standards. + Minimum of three years' experience as an auditor . + Minimum two years specialized experience in the… more
    Amentum (07/08/25)
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