- Independent Health (Buffalo, NY)
- …statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding ... will aid in training other team members, evaluating appeals, and share audit trends across the team. Expertise and proficiency demonstrated by long-standing,… more
- MVP Health Care (Schenectady, NY)
- …Integrity & Cost Containment** to lead enterprise-wide initiatives that ensure claims are paid accurately, ethically, and efficiently. This high-impact role ... goals. + Oversee pre- and post-payment integrity programs including claims editing, audits, subrogation, readmission reviews, and coordination of benefits.… more
- Molina Healthcare (Buffalo, NY)
- …contributing to the end-to-end data strategy and execution of CMS and internal audit activities. This position is responsible for supporting RADV audit cycles ... and validating source data needed to build chart retrieval chase lists for medical record collection. Success in this role requires a blend of strong technical… more
- FlexStaff (Chappaqua, NY)
- …experience-whether as a Certified Professional Coder or similar professional-to audit and monitor clinical records, ensuring accuracy, completeness, and compliance. ... Your expertise with medical terminology, coding, and documentation will support our mission...complete, accurate, and support proper billing and coding - Audit anesthesia records focusing on quality, completeness, and correctness… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- Albany Medical Center (Albany, NY)
- …billing practices by reviewing patient records, medication orders, and insurance claims to identify and correct potential pharmaceutical billing errors. They are ... reimbursement and compliant charging + Develop quality metrics and audit methodologies to drive accuracy and first-time quality for...- Rarely Thank you for your interest in Albany Medical Center!Albany Medical Center is an equal… more
- New York State Civil Service (Albany, NY)
- …planning audit activities, including specific audit tasks, and recommends audit schedule; conducts rate audits of various medical facilities that receive ... rules, and regulations governing its operation; assists in establishing the scope of the audit by analyzing and determining areas for audit and the time frame… more
- MTA (Mineola, NY)
- Senior Manager Medical Assessment Center Job ID: 12521 Business Unit: MTA Headquarters Location: Mineola, NY, United States Regular/Temporary: Regular Department: ... Services Date Posted: Jul 29, 2025 Description JOB TITLE: Senior Manager, Medical Assessment Center DEPT/DIV: Occupational Health Services WORK LOCATION: 300 Old… more
- MTA (New York, NY)
- Senior Manager Medical Assessment Center Job ID: 12310 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: ... Date Posted: Jul 15, 2025 Description JOB TITLE: Senior Manager, Medical Assessment Center DEPT/DIV: Occupational Health Services WORK LOCATION: 420 Lexington… more
- Highmark Health (Albany, NY)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more