• Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical ...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,… more
    Elevance Health (08/09/25)
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  • Attorney Auditor

    Sedgwick (Rochester, NY)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing in any ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K and PTO. + Wellness benefits… more
    Sedgwick (07/09/25)
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  • Medical Compliance Auditor…

    FlexStaff (Chappaqua, NY)
    **Req Number** 165727 FlexStaff Compliance Auditor - Hybrid position- Chappaqua, NY- $105K *THIS IS A HYBRID POSITION- YOU MUST RESIDE LOCALLY* Are you passionate ... a meaningful impact? FlexStaff is seeking a detail-oriented and experienced Compliance Auditor to join our client's dynamic team! This hybrid position offers the… more
    FlexStaff (08/16/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of… more
    Highmark Health (08/08/25)
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  • Auditor

    Amentum (Albany, NY)
    …algorithms to detect anomalous billing trends and patterns. + Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS, Business ... entities, and assets. + Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns....standards. + Minimum of three years' experience as an auditor . + Minimum two years specialized experience in the… more
    Amentum (07/08/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
    Humana (08/23/25)
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  • Pharmacy Revenue Integrity

    Albany Medical Center (Albany, NY)
    …Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a pharmacy liaison and interface with finance, billing, revenue ... practices by reviewing patient records, medication orders, and insurance claims to identify and correct potential pharmaceutical billing errors....- Rarely Thank you for your interest in Albany Medical Center!Albany Medical Center is an equal… more
    Albany Medical Center (08/14/25)
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  • Manager, Integrated Marketing, Dasher - Insurance

    DoorDash (New York, NY)
    …to connect messaging to downstream metrics, from comprehension to NPS to claims behavior. + Brings strong cross-functional leadership and a track record of ... The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here:...Colorado Healthy Families and Workplaces Act). DoorDash also offers medical , dental, and vision benefits, 11 paid holidays, disability… more
    DoorDash (06/13/25)
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