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Drg Validation Coding Auditor

New York,NY

1260 Drg Validation Coding Auditor jobs in New York,NY

New, Posted 21 hours ago
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Purchasing Manager

Knickerbocker

New York, NY 10036

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Patient Access Specialist

Ensemble Health Partners

Westwood, NJ 07675

$17-$18.15/hr
~ 44 min OnsiteEducation Assistance

  • This position is an onsite role, and candidates must be able to work on-site at Ardent - Pascack Valley in Westwood, NJ
  • High School Diploma/GED Required
  • CRCR Required within 9 months of hire (Company Paid)
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Director, Provider Education & Risk Adjustment

MJHS

New York, NY 10040

Requires Travel

  • 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.
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Senior Associate, SAP Security & Controls

KPMG

New York, NY 10025

OnsiteHealth InsuranceRetirement Benefit

  • Minimum three years of recent experience in areas such as SAP audit (GITCs and business process), SAP controls, SAP security design/re-design, SAP GRC implementation, SAP ERP implementations, or business process transformation
  • Bachelor's degree from an accredited college/university in an appropriate field such as Information Systems, Accounting, Computer Science is required
  • Hands-on experience with SAP GRC and security implementation, or effective SAP audit experience; exposure to SAP GRC (10.1 or 12.0) and SAP S/4HANA is highly preferred
  • Prior experience within a consulting or professional services firm is preferred
  • Currently holding or actively working towards certifications such as CISA, CISSP, or relevant SAP certifications
  • Applicants must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
  • Ability to travel as needed to support client engagements
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Patient Access Specialist

Ensemble Health Partners

Westwood, NJ 07675

$17-$18.15/hr
~ 44 min OnsiteEducation Assistance

  • This position is an onsite role, and candidates must be able to work on-site at Ardent - Pascack Valley in Westwood, NJ
  • High School Diploma/GED Required
  • CRCR Required within 9 months of hire (Company Paid)
SmartExplore AI is experimental.
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New, Posted 7 hours ago
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Retail Sales Specialist (Bilingual Spanish)

Spectrum

Fresh Meadows, NY 11365

$20/hr
~ 22 min OnsiteUrgently HiringFlexible ScheduleBilingual Preferred

  • This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future.
  • High School Diploma or equivalent.
  • Proficiency in cash handling and accurate payment transactions.
  • High comfort level with personal technology, including mobile devices and video platforms and proficiency in computer applications.
  • Basic math skills.
  • Ability to read, write, speak, and understand English and to prioritize, organize, manage multiple tasks and handle change effectively.
  • Familiarity with goal- and incentive-based work environments.
  • Strong performance in a fast-paced team environment.
  • Effective communication with employees and customers in person, on the phone and in writing.
  • Highly effective interpersonal skills for building partnerships across the organization.
  • Self-motivated, competitive spirit with a desire to exceed sales goals.
  • Positive and professional demeanor, strong attention to detail and problem-solving skills.
  • Bilingual: Spanish.
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Quality Assurance Specialist

the fedcap group

New York, NY 10017

$66,300-$75,000/yr
OnsiteBilingual Preferred

  • A bachelor's degree in a related discipline required.
  • 3-5 years' experience in Quality Assurance, monitoring, and/or Compliance experience in a similar role.
  • Experience with Continuous Quality Improvement frameworks and instruments.
  • Experience in accurate electronic data analysis and QA.
  • Prior experience responding to external audit reports and preparing corrective action plans.
  • Experience in developing and implementing processes for continual quality improvement.
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Director, Program Integrity, Health & Human Services

KPMG

New York, NY 10025

  • Minimum eight years of recent and applicable experience in program integrity, compliance, audits, investigations, or FWA-related roles, supporting federal or state HHS programs, including Medicaid and/or human services programs (such as SNAP, child welfare, childcare, child support enforcement)
  • Advanced degree from an accredited college or university is preferred; Minimum of a Bachelor's degree is required
  • Preferred certifications include CFE, CGFM, PMP, CPA or other relevant credentials
  • Strong working knowledge of federal and state laws, regulations, and guidance governing Medicaid and human services programs
  • Experience designing and executing program integrity strategies, compliance reviews, and FWA prevention and detection initiatives; experience in Medicaid finance, healthcare finance, reimbursement, or fiscal administration, including roles such as Medicaid CFO, Deputy CFO, finance director, or consulting roles supporting state HHS or Medicaid agencies
  • Demonstrated experience with Medicaid rate setting, cost reporting, managed care financial oversight, federal claiming, or financial audits, and their intersection with program integrity and compliance.
  • Demonstrated experience leading teams and managing complex, multi-disciplinary engagements, with an active role in execution and delivery; proven success in client service and business development within an advisory or consulting environment; exceptional interpersonal and communication skills, with the ability to build credibility and trust with senior government and organizational leaders
  • Willingness to travel as needed, which may be up to eighty percent
  • Applicants must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
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New, Posted 8 hours ago
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Accounting Manager

Hyatt Regency Times Square

New York, NY 10019

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Quality Assistant

Marine Electric Systems

South Hackensack, NJ 07606

~ 26 min Onsite

  • Associate degree required or preferred depending on experience
  • Hands-on experience with inspection tools and gauges
  • Must be able to read, write, speak, and understand English for drawings, inspection records, travelers, specifications, NCRs, audit documents, ERP entries, and employee communication
  • Must be a U.S. citizen or lawful permanent resident legally authorized to work in the United States
  • Must be able to provide valid documentation of citizenship or lawful permanent residency during onboarding
  • Must comply with company confidentiality, export-control, information-security, quality, safety, and visitor-control requirements
  • 2+ years of quality inspection, manufacturing, electronics, machining, or defense/aerospace experience preferred
  • Knowledge of ISO 9001, AS9100, ERP quality records, NCRs, and production documentation preferred
  • Ability to work independently on the production floor with strong attention to detail
SmartExplore AI is experimental.
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