- Mount Sinai Health System (New York, NY)
- …a unique blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations and collaborate with staff to resolve issues and ... **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option...a key role in ensuring the financial health and compliance of the organization and bridges the gap between… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... 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
- Albany Medical Center (Albany, NY)
- …processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance ... Day (United States of America) Salary Range: $60,367.47 - $90,551.20 Professional Coding Auditor will apply an advanced professional coding skill set to act as a… more
- CVS Health (Albany, NY)
- … clinical expertise in either written or verbal forms including communication with clinical or coding staff , federal regulators and vendor coding resources. + ... risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...+ Acts as mentor to provide education to internal staff based on audit findings; provides general education on… more
- Molina Healthcare (Yonkers, NY)
- …and cost-effective member care. Essential Job Duties * Performs audits of non- clinical staff in utilization management, care management, member assessment, ... address findings in audit results. * Meets minimum production standards related to non- clinical auditing. * May conduct staff trainings as needed. * Communicates… more
- Northwell Health (Westbury, NY)
- …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Job Responsibility 1.Leverages clinical expertise to identify and ... Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations… more
- University of Rochester (Rochester, NY)
- …Quality Assurance team for clinical research conducted at CHeT. Ensures clinical data quality, regulatory compliance , and integrity of research documentation ... outside of the United States and North America. Ensures compliance with Good Clinical Practices (GCP) and...and implementation of training programs to educate faculty and staff on GCP and regulatory compliance standards.… more
- WMCHealth (Valhalla, NY)
- …appropriate clinical documentation through extensive interaction with physicians, nursing staff , and other patient caregivers to ensure that the documentation of ... Compliance Auditing Specialist- Remote/Hybrid available Company: NorthEast Provider...(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist… more
- University of Rochester (Rochester, NY)
- …financial research compliance functions. Directs the Office of Research Compliance for clinical research billing compliance , sponsored program ... preferred **KNOWLEDGE, SKILLS AND ABILITIES** + Knowledge of third-party financial compliance regulations for research and clinical trial billing required… more
- University of Rochester (Rochester, NY)
- …Specialist):** **1: Compliance Billing, Coding, and Education Analyst** Provides compliance oversight and support for assigned clinical specialties across ... and delivers comprehensive education and training sessions for faculty, residents, and staff , covering essential topics such as coding, compliance with Medicare,… more