• Regional MDS Coordinator (RN)

    Elderwood (Buffalo, NY)
    …and integrity of clinical reimbursement data and billing processes. + Audit MDS coding and supporting documentation; identify opportunities for improvement. + ... the Elderwood network. What We're Looking For: + Active RN license (required). + RAC -CT certification preferred. + Minimum of 5 years of MDS experience in a skilled… more
    Elderwood (07/02/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …entities in response to external coding audits conducted by the Medicare Administrative Contractor , the RAC , MIC, ZPIC, etc. Determine appeal action, prepare ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
    Highmark Health (05/09/25)
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  • Asst Dir, Qual & Reg Assr, Clinical Trials

    University of Rochester (Rochester, NY)
    …with internal leaders and Principal Investigators. Ensures that CHeT is clinical trial " audit ready" and that there is full adherence to protect patients' safety, ... such as American Society for Quality (ASQ), Certified Regulatory Affairs Certification ( RAC ), or Certified Quality Auditor (CQA) upon hire preferred. The University… more
    University of Rochester (07/29/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …+ Provide peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors ( RAC 's). + Assist with mitigating ... barriers to discharge and care progression. + Perform concurrent review of cases greater than 4 days or the assigned/estimated GMLOS + Partner with the care management team with the management of LOS, complex care needs and patient throughput efforts. Provide… more
    Mohawk Valley Health System (07/09/25)
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  • Medical Records Coder I - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers + Initiate and ... departments with diagnostic and procedural coding + Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding related… more
    Mohawk Valley Health System (07/09/25)
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  • Auditing & Compliance Director - Software as…

    Wolters Kluwer (New York, NY)
    …Important responsibilities include cross-functional correspondence, quality management reviews, audit support, change planning, and corrective and preventative ... future issues . Lead Auditor Certified, preferred . Regulatory Affairs Certification ( RAC ), preferred. **TRAVEL:** Travel is minimal and tends to be irregular in… more
    Wolters Kluwer (06/11/25)
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