1678 Risk Adjustment Coding Auditor jobs in New York,NY

Compliance Specialist III

Adecco

New York, NY 10025

Proficiency in risk assessments and control frameworks.
Strong presentation and executive communication skills.
Demonstrated stakeholder management and cross‑functional collaboration experience.
Experience developing new programs and processes.
Solid project management capabilities.
Experience with compliance and regulatory data analysis.
Working knowledge of evolving regulatory and compliance standards and industry best practices.

SMBC

New York, NY 10176

Sagility

New York, NY 10025

Capital One

New York, NY 10012

Swift Staffing Group

Brooklyn, NY 11201

MJHS

New York, NY 10040

Bachelor's Degree required or comparable work experience will be considered.
Minimum 5 years of experience in professional services, including practice management, nursing, clinical documentation improvement or quality audit.
In-depth knowledge of medical terminology, anatomy and physiology, pharmacology, and pathology required.
Extensive knowledge of coding and documentation requirements including ICD-10-CM, CPT-4, and HCPCS.
Excellent verbal and written communication skills, analytical skills, and organization skills required.
Extensive problem-solving experience is required.
Experience working with physicians and physician practices.
Goal-oriented and experience with development and implementation of action plans.
Excellent customer service required.
Ability to interact with public in a diplomatic and tactful manner and represent the Health Plan effectively.
Ability to manage relationships with assigned practices and maintain records of all activities.
Ability to develop action plans as required.
Proficient computer skills.
Self-motivated with the ability to work with minimal supervision.