3182 Compliance Specialist jobs in Brooklyn,NY

$86,000+ per year DOE

Day Shift

40

Required: One of the following: MD, DO, or MBBS with ECFMG Certification

Required: At least one of the following: * AHIMA Certified Documentation Improvement Practitioner (CDIP) * ACDIS Certified Clinical Documentation Specialist (CCDS) * AHIMA Certified Coding Specialist (CCS)

Strong knowledge of clinical medicine, pathophysiology, differential diagnoses, and treatment protocols

Advanced understanding of ICD-10-CM/PCS coding guidelines and documentation standards

Experience with CDI audits, provider education, denial management, and clinical appeals

Proficiency with DRG grouper software and electronic health record systems such as Epic or Meditech

Competitive Pay

Instant access to earned wages with PayActiv

Bonus earning opportunities

This position may be eligible for performance-based incentives/bonuses.

Day-1 Medical, Dental, Vision Benefits for eligible colleagues

Paid Time Off

Flexible Holiday Time-Off

Enhanced benefits: pet, home & auto insurance & more

401(k) plan options available

Employee Discount at Bloomingdale's & Macy's Stores

Benefits include 401k, medical/vision/dental/life/disability insurance options, PTO accruals, Holidays, and more.

Part Time

Flexible Scheduling

Ability to work a flexible schedule based on department and Company needs

High School Diploma or equivalent required

1-2 years related experience

Ability to work a flexible schedule based on department and Company needs

Position requires prolonged periods of standing/walking around store or department

May involve reaching, crouching, kneeling, stooping and color vision

Frequently lift/move up to 25lbs

An associate's or bachelor's degree in criminal justice or a related field

* A minimum of five years in the healthcare field working in fraud, waste, and abuse investigations and audits; or * A minimum of five years of insurance claims investigation or law enforcement investigation experience; or * A minimum of seven years of professional investigation experience involving economic or insurance related matters

Ability to develop fraud investigations

An intermediate or better level of proficiency in Microsoft Office.

User knowledge of health care related computer systems/applications.

Knowledge of HCPCS, ICD-10CM, and CPT required.

Knowledge of reviewing medical records/documentation required

Certified Professional Coder preferred

Certified Coding Specialist preferred

Certified Fraud Examiner preferred

Understanding of Medicare Advantage, Part D laws and regulations preferred.