- Northwell Health (Lake Success, NY)
- …documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts follow-up reviews ... for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and ... to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG… more
- Amazon (New York, NY)
- …Design secure cloud environments with encryption, identity management (eg, AWS IAM), and audit trails to meet regulatory standards (eg, PCI DSS, GDPR, or ... that support real-time transactions, massive user concurrency, and stringent regulatory requirements. Your expertise will drive low-latency, secure, and compliant… more
- Warner Bros. Discovery (New York, NY)
- …frameworks (ISO, NIST, PCI, GDPR, CCPA, SOX). + Strong understanding of audit /risk management methodologies and regulatory requirements pertaining to information ... projects and initiatives, ensuring compliance with global security standards and best practices . + Evaluate and recommend security solutions and tools that enhance… more
- M&T Bank (Getzville, NY)
- …+ Serve as resource in a defined area of CAM and represent business practices and interests in various projects with internal and external stakeholders. + ... brand. + Maintain M&T internal control standards, including timely implementation of internal and external audit points together with any issues raised by… more
- M&T Bank (Getzville, NY)
- …+ Serve as contact in a defined area of CAM and may represent business practices and interests in various projects with internal and external stakeholders. + May ... brand. + Maintain M&T internal control standards, including timely implementation of internal and external audit points together with any issues raised by… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... regulatory requirements, Molina policies and procedures, and medically appropriate...License must be active and unrestricted in state of practice . + Experience demonstrating knowledge of ICD-10, Current Procedural… more
- Huntington National Bank (New York, NY)
- …business efficiency. + Prompt and thorough responses related to examinations, including both internal audit and external regulators. + Develop and/or maintain a ... appropriately addressing key risks & mitigants, credit policy exceptions, and regulatory designations within underwriting documents of record. A successful candidate… more
- BioLife Plasma Services (Latham, NY)
- …plasma manufacturing is performed consistently according to current Good Manufacturing Practices (cGMP), the Shire Quality System, and other applicable regulations ... maintain complete and accurate records, in accordance with cGMP. ACCOUNTABILITIES Regulatory Compliance: (15%) Stays current with federal, state, local and… more
- M&T Bank (Buffalo, NY)
- …brand. + Maintain M&T internal control standards, including timely implementation of internal and external audit points together with any issues raised by ... on areas of opportunity. + Drive implementation adherence with patterns and practices for performance testing, resiliency, and optimization within their domain. +… more