• Nurse Auditor 2

    Humana (Albany, NY)
    …and independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical record documentation to ensure ... part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
    Humana (11/15/25)
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  • Compliance Auditor Analyst

    SUNY Upstate Medical University (Syracuse, NY)
    …Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional ... coding and billing audits. Duties/Responsibilities: Analysis of ...guidelines and apply standards. Familiarity with health information and/or medical records. Able to organize work, prioritize assignments and… more
    SUNY Upstate Medical University (11/07/25)
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  • Forensic Auditor : Investigate Complex…

    New York State Civil Service (New York, NY)
    …sampling and/or advanced statistical training.* Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience ... HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Medicaid Fraud (6414) Occupational Category Financial, Accounting,… more
    New York State Civil Service (11/19/25)
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  • Inpatient Auditor Specialist PRN- 1,000…

    Datavant (Albany, NY)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
    Datavant (11/01/25)
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  • Internal Auditor (Freelance)

    Paramount (New York, NY)
    …with spreadsheets and analytics tools such as Excel, ACL, Tableau etc. Python or coding is preferred but not required. + Willingness to travel if needed. Paramount ... training, and education. The benefits available for this position include medical , dental, vision, 401(k) plan, life insurance coverage, disability benefits, tuition… more
    Paramount (09/05/25)
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  • OB/GYN Coder / Provider Educator

    SUNY Upstate Medical University (Syracuse, NY)
    …such as COBGC (Certified OB/GYN Coder) preferred. + CPMA (Certified Professional Medical Auditor ) or CDEO (Certified Documentation Expert - Outpatient) a ... Position Overview Responsible for the accurate and compliant coding of inpatient, outpatient, and professional OB/GYN encounters. This position serves as a key… more
    SUNY Upstate Medical University (11/12/25)
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  • ProFee Audit Specialist PRN- 1,000 Sign on Bonus

    Datavant (Albany, NY)
    …Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee ... coding audits of medical records and abstracts...auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Need to Succeed:**… more
    Datavant (11/12/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Albany, NY)
    …software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (10/09/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding ... Directors and/or clinical consultants. + Serves as an internal auditor /peer reviewer for new clinical staff, as needed. +...within one year of hire date. + Knowledge of medical record coding conventions (eg CPT, DRG,… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist ... and staff to ensure the accuracy and completeness of medical record documentation and coding . Provides training, education and coaching to providers and staff… more
    WMCHealth (09/12/25)
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