• Coding Auditor Educator

    Highmark Health (Albany, NY)
    …Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper ... Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
    Highmark Health (08/08/25)
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  • Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    …Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel expectation on ... care hospital. Training or auditing experience in a managed care or healthcare setting. **Required License/Certification:** RN, PA, MD, APRN, DO or MBBS license… more
    Centene Corporation (06/28/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …of compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering ... Regularly conducts compliance related audits to assess internal controls, examining healthcare records and processes, and analyzing and reporting risks. + Influence… more
    Humana (08/23/25)
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  • Claims 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 ... EXPERIENCE: Education Required: BA/BS degree in a financial field or equivalent healthcare experience Preferred: Type of Experience Required: 2+ years of claim… more
    Centers Plan for Healthy Living (07/15/25)
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  • Compliance Auditor

    YAI (Manhattan, NY)
    …(3) years of experience in compliance, auditing and investigations, preferably in healthcare , social services and/or with the I/DD population; or + Satisfactory ... above) + Master's degree in any field indicated above + Certification in Healthcare Compliance (CHC) or related training/certification + One (1) year of experience… more
    YAI (08/08/25)
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  • Compliance Auditor Analyst

    SUNY Upstate Medical University (Syracuse, NY)
    …information. Minimum Qualifications: Associates degree and 2 years experience in healthcare setting. CCCS-P, CCCS, CPC, RHIA or RHIT required. Preferred ... Qualifications: Bachelors Degree; Coding and auditing experience preferred. Work Days: Monday - Friday daytime hours Message to Applicants: Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year… more
    SUNY Upstate Medical University (08/08/25)
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  • Advanced Analytics Senior Auditor

    UNUM (Albany, NY)
    …of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term ... disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of… more
    UNUM (08/01/25)
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  • Manager Risk & Compliance Management

    Highmark Health (Buffalo, NY)
    …(CIPP) + Certified Information Systems Security Professional (CISSP) + Certified in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) **SKILLS** + ... leadership role, preferably in an Audit or Compliance discipline in a Healthcare or Healthcare related industry + 3 years overseeing privacy, risk, audit, and/or… more
    Highmark Health (08/16/25)
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  • Specialist, Configuration Oversight…

    Molina Healthcare (Albany, NY)
    …conducting various audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... EXPERIENCE, SKILLS & ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function + Previous examiner/processing experience… more
    Molina Healthcare (08/16/25)
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  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Yonkers, NY)
    …requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and ... **REQUIRED EDUCATION:** Bachelor's Degree in a clinical field, Public Health, Healthcare , or equivalent. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+… more
    Molina Healthcare (08/21/25)
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