VNS Health

VNS Health in New York seeks an Audit Specialist to conduct regulatory, credentialing, and contractual compliance audits of SADC, CDPAS/FI, and LHCSA providers. You will review documents, assess adherence to NYS rules and VNS Health standards, and draft findings and corrective actions. This role requires travel across Downstate NYC, up to 90%, and close collaboration with Network, Compliance, Quality, Operations, and Claims teams to drive improvements and regulatory readiness. #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