22 compliance auditor jobs found in New York, NY

Business Context and Main Purpose of the Job The Hub Quality and Compliance Auditor has the knowledge and expertise in shared services specifically in data quality and process audit. This role is responsible for ensuring that the services provided by Manila Hub to its clients meet the required quality standards based on the standards operating procedures, agreed WoW, SLAs, KPIs, and other metrics that is identified in the overall Hub service delivery model. Key Responsibilities Performs regular audits in the transactions using the approved audit and quality framework to assess Hub’s compliance with quality standards and recommends areas for improvement. Develops audit plans (objective, scope, methodology of audit) to prioritize the work plans and ensure coverage based on agreed prioritization. Review and examine documentations, pertinent supporting information, standard operating procedures, and other relevant materials to understand the requirements and expectations for each...

Under direction of the Assistant Director of Corporate Compliance, the Compliance Auditor provides YAI programs and services with ongoing compliance support through the development and implementation of internal monitoring systems consistent with applicable policies and regulations; conducting internal audits and investigations; developing compliance related employee education-related materials; attending regional or departmental meetings and developing and maintaining strong working relationships with programs and support departments. Key/Essential Functions & Responsibilities Implements the organization’s compliance program under the supervision of the Assistant Director of Corporate Compliance and in coordination with program staff. Maintains up to date knowledge of laws and regulations governing the documentation and billing of YAI services including, but not limited to State regulatory agencies (Office for People with Developmental Disabilities (OPWDD), Centers for...

Calibre CPA Group is seeking a Compliance Auditor  to work in the firm's Payroll Compliance Audit department. This position involves analyzing and reviewing payroll, tax, and personnel records to determine employer compliance with collective bargaining agreements. Our Compliance Auditors are responsible for creating and submitting reports of audit findings to fund administrators on a variety of employee benefit plans. Position Responsibilities Performing audits on payroll, tax, and other personnel records using an automated system. Computing audit results and preparing audit reports. Researching payroll records, reports, and contracts. Traveling to employer facilities to conduct on-site inspection of records. Scheduling and coordinating audit appointments with employers. Transferring payroll data onto worksheets. Retrieving accurate information from various in-house departments. Job Requirements Bachelor's degree, preferably in a business-related field. Excellent oral and...

Company: Schultheis & Panettieri, LLP Position: Payroll Compliance Auditor Job Location: Floral Park, NY Salary Range: $55,000-$70,000 Hauppauge CPA firm specializing in labor unions and related benefit fund audits seeks Payroll Compliance Auditors to ensure employers make contributions to benefit funds in compliance with applicable agreements. Background in Auditing not essential. We will train the right candidates. Payroll professionals, bookkeepers, data analysts and recent college graduates encouraged to apply ! We have offices in Hauppauge, NY, Floral Park, NY and Iselin, NJ. Multiple positions available at all office locations. Great atmosphere and excellent benefits. Job Responsibilities: • Analyze payroll and related records to ensure completeness and compare to pension and health fund data • Analyze general ledgers and cash disbursement records • Communicate with employers to ensure all eligible participants receive...

Company: Schultheis & Panettieri, LLP Position: Payroll Compliance Auditor Job Location: Hauppauge, NY Salary Range: $55,000-$70,000 Hauppauge CPA firm specializing in labor unions and related benefit fund audits seeks Payroll Compliance Auditors to ensure employers make contributions to benefit funds in compliance with applicable agreements. Background in Auditing not essential. We will train the right candidates. Payroll professionals, bookkeepers, data analysts and recent college graduates encouraged to apply ! Multiple positions available at all office locations. Great atmosphere and excellent benefits. Job Responsibilities: •Analyze payroll and related records to ensure completeness and compare to pension and health fund data •Analyze general ledgers and cash disbursement records •Communicate with employers to ensure all eligible participants receive the benefits they are entitled to •Prepare various schedules and reports and then explain the results to all...

Job Description Job Description Hauppauge CPA firm specializing in labor unions and related benefit fund audits seeks Payroll Compliance Auditors to ensure employers make contributions to benefit funds in compliance with applicable agreements. Background in Auditing not essential. We will train the right candidates. Payroll professionals, bookkeepers, data analysts and recent college graduates encouraged to apply ! Multiple positions available at all office locations. Great atmosphere and excellent benefits. Job Responsibilities: • Analyze payroll and related records to ensure completeness and compare to pension and health fund data • Analyze general ledgers and cash disbursement records • Communicate with employers to ensure all eligible participants receive the benefits they are entitled to • Prepare various schedules and reports and then explain the results to all parties involved Ideal Candidate: • Bachelor's degree in Business or related field preferred • Strong...

Company Description Job Description Established in 1805, the New York City Department of Health and Mental Hygiene (the NYC Health Department) is the oldest and largest health department in the country. Our mission is to protect and improve the health of all New Yorkers, in service of a vision of a city in which all New Yorkers can realize their full health potential, regardless of who they are, how old they are, where they are from, or where they live. As a world-renowned public health agency with a history of building transformative public health programming and infrastructure, innovating in science and scholarship to advance public health knowledge, and responding to urgent public health crises from New York City's yellow fever outbreak in 1822, to the COVID-19 pandemic we are a hub for public health innovation, expertise, and programs, and services. We serve as the population health strategist, and policy, and planning authority for the City of New York, while also...

Job Description Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma’s international awards programs for the last three consecutive years. For more information, visit www.mmsholdings.com or follow MMS on LinkedIn. Job Specific Skills Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. Understanding of how to plan, prepare and...

Job Description Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma’s international awards programs for the last three consecutive years. For more information, visit www.mmsholdings.com or follow MMS on LinkedIn. Job Specific Skills Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. Understanding of how to plan, prepare and...

As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies´ success. We realize that our strength and competitive advantage lie with our people. We support our employees in several ways to foster a healthy working environment, meaningful work, diversity and inclusion, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim´s high regard for our employees. The Sr. AD, Global Principal QM Auditor prepares, conducts and reports to auditees and management complex routine as well as sensitive for-cause audits as a lead auditor in compliance with the procedural documents in good quality and within timelines and as assigned by QM auditing management. This role...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.  The Traveling Medical Assistant Training Supervisor is responsible for overseeing and managing the training, competency, and development of MAs within the MDE clinics and facilities.  This role plays a critical part in ensuring that medical assistants are competent in the role to provide high-quality patient care and ensure clinical compliance.  The traveling medical assistant training supervisor plays a pivotal role in shaping the MDE medical assistant training team by providing them with the leadership and guidance to ensure medical assistants are knowledgeable and hold skills they need to excel in our centers and deliver exceptional patient services.  The role requires a deep understanding of the roles of a medical assistant, strong leadership...

Description Leading provider of mobile medical services is seeking experienced, professional and personable Medical Billers. Ideal candidate should posses excellent organizational skills and the ability to multitask in a fast-paced environment. Minimum of 2-3 years medical billing experience required. Job Responsibilities Measures compliance and accuracy through routine pre-bill and post-bill reviews and audits Measures and monitors company-wide performance, prepares reports, charts, graphs or other information relative to operational effectiveness Maintains and manages numerous daily and monthly reports needed to ensure high quality, real-time compliance practices Develops and monitors reporting tools to track Key Performance Indicators (KPIs), (e.g. Status of trip inventory, authorizations captured/pending, PCS and Signature compliance) Performs routine audits by market and individual to train to compliance Partners with...

Medical Biller We are seeking qualified and dedicated Medical Billers to join our team. Demonstrate an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. You must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Attention to detail will be highly important. Medical Biller Responsibilities: Perform daily download and reconciliation of claims from patient accounting system to electronic billing system. Transmit or release claims at a minimum daily. Work all assigned claims...

Fully remote role for the following states: NY,NJ, DE, CT, and PA. Job Description: Summary: The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation). HCC Risk Adjustment Coders are required to maintain minimum 95% accuracy on coding quality audits. Responsibilities:•Compile chart review findings statistics, analyze data results and implement meaningful action plans that improve providers' performance levels •Education new staff to produce and maintain high quality data...

Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Compliance Specialist assures on-going compliance and implements an effective compliance program under the direction of the Regional Compliance Officer. Proactively assesses changes in the regulatory environment; researches, investigates, reviews and responds to issues related to accreditation, documentation, coding, billing and licensure. Coordinates and participates in the record/claims review process, provides documentation and compliance education...

**Remote Work Schedule: Tuesday - Saturday/Sunday - Thursday/Full Time** Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Logs all discharges into the computerized Discharge Log, enters specific data elements and verifies the discharge physician for all coded records. Serves as an onsite resource for both inpatient and outpatient coding issues. Maintains an understanding of both Inpatient and Outpatient Prospective Payment Systems. Job Responsibility Assigns codes accurately to each record for diagnoses and procedures performed according to ICD-9-CM and CPT-4 coding and classification systems. (This includes assignment of modifiers on required cases). Utilizes resources needed to adhere to coding guidelines (e.g. Coding Clinic, Coding Handbook, etc.). Also uses reference materials (medical dictionary, Physicians Desk Reference, approved abbreviations) to ensure accuracy to align with...

Job Description Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations and mitigate compliance risk. Job Responsibility Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding and documentation requirements. Drafts reports detailing coding audit findings. Assists with billing/documentation and regulatory risk assessments. Acts as the internal expert on coding issues to ensure compliance with state and federal regulations. Research, interpret and communicate federal and state laws and guidelines pertaining to Medicare and NYS Medicaid. Completes thorough reviews of governmental coding audits determining potential non-compliance and future compliance risk. Provides general compliance education and support to audit and facility staff involved in coding and billing; focused training based on results of compliance audits and self-assessments....

Job Description Job Description Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations and mitigate compliance risk. Job Responsibility Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding and documentation requirements. Drafts reports detailing coding audit findings. Assists with billing/documentation and regulatory risk assessments. Acts as the internal expert on coding issues to ensure compliance with state and federal regulations. Research, interpret and communicate federal and state laws and guidelines pertaining to Medicare and NYS Medicaid. Completes thorough reviews of governmental coding audits determining potential non-compliance and future compliance risk. Provides general compliance education and support to audit and facility staff involved in coding and billing; focused training based on results of compliance audits and...

Job DescriptionJob Description Performs complex coding audits, drafts findings and advises with organization leadership to provide education on regulations and mitigate compliance risk.Job Responsibility Reviews data, such as claims detail, coding and medical record documentation to determine compliance with appropriate coding and documentation requirements. Drafts reports detailing coding audit findings. Assists with billing/documentation and regulatory risk assessments. Acts as the internal expert on coding issues to ensure compliance with state and federal regulations. Research, interpret and communicate federal and state laws and guidelines pertaining to Medicare and NYS Medicaid. Completes thorough reviews of governmental coding audits determining potential non-compliance and future compliance risk. Provides general compliance education and support to audit and facility staff involved in coding and billing; focused training based on results of compliance audits and...

Job Description Seeking RN - BSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Instructs professional staff in code changes, as needed. Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Reports...

Job Description Conducts Home Health Resource Group (HHRG) Validation to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Job Responsibility Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Instructs professional staff in code changes, as needed. Assists clinical staff and nursing supervisors in providing appropriate documentation in the Medical Record. Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations. Reports to supervisor and visiting nurses those Medical Records that are deficient in diagnosis and clinical documentation. Reviews Outcome...

Job Description Job Description Company Intro: Ocean Health Initiatives, Inc. (OHI) is a Federally Qualified Health Center (FQHC) dedicated to providing quality, accessible and comprehensive primary health care to the residents of Ocean and Monmouth County; regardless of economic status. Our Health Center Locations: Brick, Freehold, Lakewood, Little Egg Harbor, Manahawkin, Manchester and Toms River; with our school-based Wellness Programs located within the Clifton Ave Grade School, Lakewood; and Lakewood High School. OHI services include family and internal medicine, pediatrics, behavioral health, nutrition, OB/GYN women’s health, dental, family planning, specialty care, pharmacies, PrEP, and a STI clinic. Hours: Full-time hours are M-F 8:00am- 4:30pm with rotating evening/Saturday shifts (subject to seasonal changes and business/site needs) Candidates must reside in one of the following states: New Jersey, Alabama, Arizona, Arkansas, Arizona,...