- Northwell Health (Lake Success, NY)
- **Req Number** 174853 Lead Compliance Auditor - Heavy Anesthesia & Healthcare Expertise Needed. This is a HYBRID position- MUST be in the office located in ... your expertise can make a real impact? FlexStaff is seeking a dynamic, detail-oriented Lead Compliance Auditor to join our client's team and lead the charge in… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount ... payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical… more
- Humana (Albany, NY)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Albany, NY)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate procedural ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- City of New York (New York, NY)
- …Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement Program and Pre-Tax Benefits & Citywide Programs, ... bargaining agreements with the City's 149 bargaining units. 1.Monitor Health Plan Compliance : Review and audit of self-funded health plan financial processes to… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …they need for healthy living. JOB SUMMARY: The objective is to ensure ongoing compliance , provide support and training by monitoring the field staff on a monthly ... basis. The Trainer/ Auditor will provide oversight of the field staff. He/she...to utilize in developing strategy and plans that ensure compliance and can also be used to keep class… more
- Northwell Health (Garden City, NY)
- …coding rules and regulations to the validation review process. 6.Reviews codes on Medicare /non- Medicare charts for compliance to rules and conventions. ... and principals; performs coding audits for optimization. 4.Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained… more
- Centene Corporation (New York, NY)
- …perspective on workplace flexibility. **Position Purpose:** Conduct audits to ensure compliance with Center for Medicare /Medicaid Services (CMS) regulations. ... including review of rules and regulations against policies and procedures. + Assist compliance director with vendor audits. + Prepare and draft audit reports of… more
- Humana (Albany, NY)
- …Accountant, Certified Information Systems Auditor , or Certified Internal Auditor , Project Management certification, Healthcare Compliance Certification, etc. ... and help us put health first** Humana Healthy Horizons is hiring a Compliance Professional who will support efforts for overall Medicaid business by joining the… more