- Catholic Health (Cheektowaga, NY)
- …Hours: 7a-3:30p, hours may vary Summary: The Director Medical Coding and Chart Audit Services - HCS will be responsible for managing and overseeing professional ... experience highly recommended KNOWLEDGE, SKILL AND ABILITY: + Extensive knowledge of Medicare and Commercial Payers coding and billing policies + Knowledge of… more
- Highmark Health (Albany, NY)
- …risk activities, including but not limited to internal and external audit progress, recurring risk and compliance reporting, mandated training, investigations, and ... of managed care operations, compliance program structures, information security and audit methodologies. The incumbent must also have a foundational understanding of… more
- WMCHealth (Warwick, NY)
- …and related information against loss, destruction or unauthorized use. + Audit departments to ensure compliance with state, federal and organizational ... other providers, regulatory agencies, billing agencies, and auditing agencies including Medicare , Medicaid, and third-party billers. + Scans, uploads, and files… more
- Healthfirst (NY)
- …department. Assist callers requesting assistance with Medicaid Renewal application, Medicare Savings Program application, and New Medicaid Applications. Research ... ePACES and/or Marx for Medicaid and Medicare eligibility, exclusion, and exemption codes. Consult with HRA...meet pre and post training and regulatory exams and audit requirements. Arrive at scheduled work sites, team meetings,… more
- Highmark Health (Albany, NY)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Stony Brook University (Stony Brook, NY)
- …Management is responsible for the development, implementation, maintenance, review and audit of the Hospital Charge Description Master to optimize revenue generation ... will engage with service department staff and affiliates to develop and maintain audit programs which reconcile services performed to charges captured. In this role,… more
- Molina Healthcare (Buffalo, NY)
- …and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and deliverables are ... met * Evaluate results from audit activities to address barriers, gaps, opportunities for improvement,...to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and guidelines of… more
- Whitney Young Health Center (Albany, NY)
- …statements in an accurate and timely manner for submission to management and Finance/ Audit Committee. Reviews and signs off on all journal entries. Prepares monthly ... analysis of operations for Finance/ Audit Committee and management. Attends Finance Committee meetings and...Coordinates preparation of designated third party cost reports including Medicare , Medicaid and OASAS and assists in the preparation… more
- Bassett Healthcare (Cooperstown, NY)
- …is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures ... of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based… more
- Catholic Health Services (Rockville Centre, NY)
- …care analysis, home office cost reports, budget capital reports, and various Medicare / Medicare cost report schedules, working alongside Director and Staff. ... monthly reports and payments to the HCRA pools. Coordinates audit response to Third Party Auditors, NGS, CMS, or...ICR and Bad Debts and Charity Care audits. Coordinates audit response to NYS Auditors in relation to DSH/ICR… more