- Centene Corporation (New York, NY)
- …Related Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel ... needed analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training programs, including… more
- Northwell Health (Lake Success, NY)
- **Req Number** 165162 Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. ... Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals;… more
- Northwell Health (Westbury, NY)
- …BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Job Responsibility 1.Leverages clinical ... 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.… more
- Mount Sinai Health System (New York, NY)
- …and related professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue … more
- Elevance Health (Woodbridge, NJ)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient… more
- Avispa Technology (New York, NY)
- Internal Auditor VIAJP00001385 * Hourly pay: $40/hr * Worksite: Leading digital streaming network (New York, NY 10036 - Hybrid, Must be onsite 1-2 days a week, ... Assignment A leading digital streaming network seeks an Internal Auditor . The successful candidate will establish relationships with process...tools such as Excel, ACL, Tableau and Python or coding is preferred but not required. * Willingness to… more
- CIBC (New York, NY)
- …As a member of CIBC's Internal Audit team, the Senior Auditor /Manager/Senior Manager is responsible for conducting risk-focused audits; advising business units ... we are hiring for 3 open positions - Senior Auditor /Manager/Senior Manager. The job level will be determined based...attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process… more
- New York State Civil Service (Pearl River, NY)
- …HELP No Agency Attorney General, Office of the Title Forensic Auditor : Investigate Complex Healthcare Fraud, 6405 Occupational Category Financial, Accounting, ... Medicaid Fraud Control Unit - Pearl River (Rockland County)Forensic Accountant/ Auditor Reference No. MFCU_PR_FAA_6405Application Deadline is October 31, 2025Salary… more
- Molina Healthcare (Yonkers, 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
- Paramount (New York, NY)
- …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 ... Skydance Corporation (NASDAQ: PSKY) is a leading global media and entertainment company that creates premium content and experiences for audiences worldwide. Driven by iconic studios, networks and streaming services, Paramount's portfolio of consumer brands… more
- JPMorgan Chase (Jersey City, NJ)
- …+ Solid understanding of technology risk concepts, artificial intelligence, coding , data analytics and/or distributed technologies and internal control concepts ... with the ability to evaluate and determine the adequacy of controls by considering business and technology risks in an integrated manner. + Advanced analytical skills, particularly in regard to assessing the probability and impact of an internal control… more
- WMCHealth (Valhalla, NY)
- …internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing concurrent and retrospective reviews of ... documentation and coding and working with providers and staff to ensure...(CRC), Certified Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA) or Certified Clinical Documentation Specialist (CCDS) credential(s).… more
- Hackensack Meridian Health (Edison, NJ)
- …positive change. Under the general direction of the **Physician Billing (PB) Director of Coding and Manager of Education and Audit** , this position supervises the ... Coding Education and Audit team and conducts audits for...experience. **Licenses and Certifications Required:** + Certified Professional Medical Auditor within 1 years of entering position. + Registered… more
- Molina Healthcare (Yonkers, NY)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- MUFG (Jersey City, NJ)
- …reports + Participate in security governance of SDLC, design reviews and secure coding standards (OWASP) + Utilize the MITRE ATT&CK framework to identify and ... experience in a combination of risk management, Cloud information security, secure coding , application security, and IT roles. Audit and Cyber Risk Institute… more
- ADP (Roseland, NJ)
- …libraries, validating vendor patching and update processes, assessing secure coding practices, and ensuring adherence to organizational and regulatory requirements. ... + Proficiency in assessing SDLC processes, application architecture, and secure coding practices. + Strong technical expertise in security controls, network… more
- DoorDash (New York, NY)
- …self-serve in SQL and Excel. + Strong nice-to-have's: Python and experience using AI- coding and analytics tools. + You think from first principles. You break down ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)… more