- WMCHealth (Valhalla, NY)
- Compliance Auditing Specialist - Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: ... Clerical/Administrative Support Department: Compliance - WMC Health Union: No Position: Full Time Hours: Variable Shift: All Shifts Req #: 42770 Posted Date: Apr 08,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Documentation Quality Improvement Specialist II is responsible for improving the overall quality and completeness of clinical ... accurate level of service rendered to patients. **Performance Requirement for CDQI Specialist II** 1. Experienced CDQI with minimum 2-4 years recent experience in… more
- Datavant (Albany, NY)
- …life experiences to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and ... educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding...presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help… more
- Datavant (Albany, NY)
- …our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding...presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help… more
- Datavant (Albany, NY)
- …life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and ... educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding...presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... proficiency demonstrated by long-standing, consistent results, advanced coding knowledge and auditing skills evidenced by their ability to train others, to identify… more
- City of New York (New York, NY)
- …program participants. - conduct review of program files and perform administrative auditing to ensure program compliance while maintaining security of ... Supervisor will need to understand program standards and protocols and evaluate whether compliance has been met. The SYEP Program Supervisor will be responsible for… more
- Centene Corporation (New York, NY)
- …or related field. 2+ years of combined managed care operations, compliance , auditing , project management, or business analysis experience, preferably ... implement and complete corrective action plans to resolve identified deficiencies in compliance with regulatory and business requirements + Serve as a subject matter… more
- Molina Healthcare (Albany, NY)
- …improvement activities. Responsible for overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers ... and cost-effective member care. This position will support our Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates… more
- KeyBank (Amherst, NY)
- …Ohio **About the Job** As part of Key's second line of defense Compliance Risk Management function, the Risk Evaluation and Assurance Program (the "REA Program") ... has the responsibility for evaluating Key's ongoing compliance with applicable laws and regulations through the execution of compliance monitoring and testing… more
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