• Compliance Auditor Analyst

    SUNY Upstate Medical University (Syracuse, NY)
    …the Compliance 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 coding and billing data, identification of trends and… more
    SUNY Upstate Medical University (08/08/25)
    - Related Jobs

  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Buffalo, NY)
    …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
    Molina Healthcare (09/17/25)
    - Related Jobs

  • Internal Auditor (Freelance)

    Paramount (New York, NY)
    …project assignments as needed. + This individual must be an action-oriented professional who needs minimal supervision to conduct risk-based operational audits. + ... 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… more
    Paramount (09/05/25)
    - Related Jobs

  • Compliance Auditing Specialist- Remote/Hybrid…

    WMCHealth (Valhalla, NY)
    …Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist ... internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of… more
    WMCHealth (09/12/25)
    - Related Jobs

  • Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS coding , inter-plan regulations, government policies, as ... conditions due to discovery of potential FWA. Discusses sensitive material in a professional , fair and accurate manner. Recommends providers for referrals to the New… more
    Excellus BlueCross BlueShield (09/17/25)
    - Related Jobs

  • Internal Audit IT Analyst

    Coinbase (Albany, NY)
    …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to...such as Python, Ruby, etc. *Nice to haves:* * Professional Internal Audit / IT / Security qualification (eg,… more
    Coinbase (09/19/25)
    - Related Jobs

  • Corporate Accountant

    Conifer Realty LLC (Rochester, NY)
    …and analyze against annual budgeted amounts, researching and explaining discrepancies. + Coding and processing of corporate invoices accurately and timely. + Process ... general ledger activities. + Assist with coordinating activities of external auditor . + Other corporate accounting related projects, responsibilities as assigned.… more
    Conifer Realty LLC (09/05/25)
    - Related Jobs