• Audit & Reimbursement Senior- Appeals

    Elevance Health (East Syracuse, NY)
    ** Audit & Reimbursement Senior** _Location:_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC)… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement III- Appeals

    Elevance Health (East Syracuse, NY)
    ** Audit & Reimbursement III** _Location:_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... for Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC)… more
    Elevance Health (05/30/25)
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  • Claim Appeals And Audit Specialist

    CenterLight Health System (NY)
    …monies and proper application of transaction by our TPA. + Perform in-depth claims audit to confirm that all medical claims paid and denied accurately. Address ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in...enhance claim workflow and efficiency. + Analyze patient and medical information to identify Coordination of Benefits (COB), Worker's… more
    CenterLight Health System (04/26/25)
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  • Manager of Governance, Exam and Audit

    American Express (New York, NY)
    …Control Management team is looking for a **Manager of Governance, Exam and Audit Management** , focused on ensuring control management is embedded in the day-to-day ... and external exam program for the Corporate Functions, including pre-exam and - audit planning, post-exam and - audit closures, and overall driving effective… more
    American Express (06/05/25)
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  • Surgical Spine Coder

    Excelsior Orthopaedics Group (Amherst, NY)
    …for provider services for hospital patients, including inpatient and outpatient procedures. + Medical Record Audits: Audit medical records for accurate ... hybrid position* Job Summary We are seeking an experienced Medical Coder to join our thriving orthopedic practice. The...HCPCS codes. + Code Accuracy and Compliance: Review and audit ICD-10-CM, HCPCS, and CPT codes for surgical procedures,… more
    Excelsior Orthopaedics Group (04/29/25)
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  • Health Services Administrator HSA RN

    YesCare Corp (Coxsackie, NY)
    …compliance with allYesCareand applicable client systems and applications. + Coordinates the Medical Audit Committee and facilitates the monthly meetings. + ... Secure and Maintain Accreditation/inspections (ie, PREA, ACA, NCCHC, etc.) at a time specified by management for the Facility. Ensure site compliance with correctional andYesCarepolicies and procedures. + Coordinates with Hospital Administrators and other… more
    YesCare Corp (03/21/25)
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  • Internal Audit Data Analyst

    Touro University (New York, NY)
    Overview The Internal Audit Data Analyst will be responsible for the planning and overseeing of compliance and operational audits, investigations, and special ... perform the planning, fieldwork, and reporting phases of an audit engagement. The Internal Audit Data Analyst...which includes: + Full range of Health Plans + Medical Plans (choice of EPO, PPO, High Deductible HSA)… more
    Touro University (06/05/25)
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  • Engineering Audit Officer

    City of New York (New York, NY)
    …specifications and provides strategic guidance to improve performance. The Engineering Audit Department of Quality Assurance performs independent reviews of payment ... to issuing payment. Reporting to the Director of Engineering Audit , with very wide latitude for independent judgment and...6. NYCHA provides benefits that include a choice of medical coverage plans, deferred compensation plans and a defined… more
    City of New York (06/04/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (East Syracuse, NY)
    ** Audit & Reimbursement II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... for Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II** will support our Medicare Administrative Contract (MAC)… more
    Elevance Health (05/30/25)
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  • Night Audit

    BBL Hospitality (Rensselaer, NY)
    Night Audit Job Details Job Location Holiday Inn East Greenbush - Rensselaer, NY Position Type Part Time Salary Range $17.00 - $18.00 Hourly Job Shift Overnight Job ... + Associate Development Plan Opportunities + Internal Promotion Opportunities + Medical , Dental, Vision, Voluntary Benefits, FSA and HSA Account options available… more
    BBL Hospitality (05/22/25)
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