VNS Health

VNS Health in New York, NY seeks an Audit/Compliance Specialist to conduct regulatory, credentialing, and contractual reviews for SADC, CDPAS/FIs, and LHCSA providers. You will perform on-site audits, review documentation, assess risk, and issue corrective actions to improve provider performance. The role requires 3+ years in contract-related health care audits, willingness to travel up to 90% across Downstate NYC, and strong collaboration with Compliance, Quality, and Operations teams to ensure #J-18808-Ljbffr

VNS Health is seeking a skilled Medical Coder with Risk Adjustment expertise to review provider documentation and assign ICD-10 codes aligned with CMS HCC methodology. You will monitor coding accuracy and participate in data validation, audits, and training across departments. Applicants should have at least two years of payor experience, knowledge of ICD-10-CM, CPT-4, HCPCS, and HIPAA; willingness to collaborate with care teams and leadership to improve compliance and outcomes. #J-18808-Ljbffr