19 senior healthcare compliance auditor jobs found in New York, NY

A healthcare organization in New York seeks an experienced individual to safeguard revenue and reputation through auditing and compliance activities. Responsibilities include conducting medical record audits, developing formal reports for senior management, and coordinating education sessions for over 500 health professionals. The ideal candidate must have a Bachelor's degree, at least 5 years of relevant experience in billing and coding, and excellent communication skills. #J-18808-Ljbffr

A leading healthcare organization in New York seeks an experienced Compliance Auditor to enhance revenue protection and compliance through government audits and medical record reviews. Responsibilities include conducting audits, developing education sessions for 500+ staff, and ensuring adherence to coding regulations. Applicants should have a Bachelor's Degree and substantial experience in billing and coding, along with strong analytical and communication skills. This is a full-time position with a focus on continuous compliance improvement. #J-18808-Ljbffr

A leading medical center in New York seeks a Compliance Specialist to oversee billing, coding, and compliance audits. The ideal candidate will have a bachelor's degree and at least 5 years of experience in a hospital setting. Key responsibilities include participating in government audits, developing audit reports, and facilitating compliance training. A strong understanding of documentation and coding practices is essential. The role offers competitive pay and a comprehensive benefits package. #J-18808-Ljbffr

A healthcare provider is seeking a Compliance Auditor to safeguard revenue and reputation through various audit activities and compliance education. The role requires participation in government audits and development of educational programs for over 500 healthcare professionals. Candidates must possess at least a Bachelor's degree and 5+ years of experience in billing, coding, and documentation within a hospital setting. This position is crucial for maintaining regulatory compliance and ensures thorough audit reports are presented to management. #J-18808-Ljbffr

Location 1240 39th Street,Brooklyn, NY, 11218,United States Base Pay $83,000.00 - $90,000.00 / Year Employee Type Full Time Required Degree 4 Year Degree We are seeking a detail-oriented and experienced Coder Auditor to join our dynamic team. The ideal candidate will be responsible for ensuring the accuracy and completeness of clinical data used to support risk adjustment coding for our Medicare plan. You will work closely with healthcare providers and clinical teams to identify and mitigate documentation gaps, ultimately supporting our mission to provide exceptional care to our members. Responsibilities Audit and QC the coding team’s output for accuracy and compliance with HCC/ICD-10-CM guidelines Speak directly with providers — writing and following up on provider queries for insufficient or ambiguous documentation Educate providers on documentation practices that support accurate risk adjustment coding Serve as the escalation point for complex charts and coding...

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do: Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk...

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.Day - 08 Hour (United States of America)This is a Stanford Health Care - University Healthcare Alliance job.A Brief OverviewThe Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment.LocationsStanford Health Care - University Healthcare AllianceWhat you will doRisk Adjustment ReviewMay perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditingReviewing medical records to ensure accurate HCC coding and...

About UsAt Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionThe auditor reviews professional fee billing, coding and documentation.Reviews to be performed are identified based on the then-current OIG Workplan and compliance risk analyses.Customers include employed providers, senior leadership,...

To support a growing healthcare practice, the full-time remote Certified Medical Coding Auditor will conduct clinical coding audits, mentor internal coders, and ensure compliance with coding standards and quality assessments. Key responsibilities Conduct clinical coding audits as per client contracts and operational guidelines Mentor and provide educational feedback to internal coders to enhance their performance Monitor coding accuracy rates and ensure adherence to State and National Practice Standards for coding Required qualifications Minimum of 3 years of experience coding Profee and outpatient charts AHIMA or AAPC coding credential required (CPC, CPMA, RHIT, RHIA) Experience with Athena, Cerner, Epic, and 3M (TruCode preferred) Broad-based audit experience with professional fee coding Strong knowledge of Google Suite (Gmail, Google Docs, Google Sheets)

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...

Stanford Health Care is seeking a Senior Risk Adjustment Coder in Newark, NJ, responsible for code audits and abstraction in line with regulations. This role requires collaboration with clinicians to ensure accurate coding and compliance initiatives. Applicants should have over 5 years of experience with coding guidelines, preferably in a healthcare setting. Stanford Health Care values diversity and encourages qualified applicants from all backgrounds to apply. #J-18808-Ljbffr

Senior Vascular Surgery Professional Coder New Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural...

Certified Professional Coder (Cpc) The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices, timely issue resolution, and alignment with organizational policies and payer requirements. The Coding Liaison supports documentation integrity, monitors vendor performance, and acts as a subject matter expert for coding-related inquiries. This role works closely with providers, clinical staff, and revenue cycle teams to review medical records, validate documentation completeness, apply correct CPT®, ICD-10-CM, and HCPCS codes, and educate providers on documentation best practices. Key Responsibilities Serve as the liaison to ensure coding queries issued by the vendor are addressed by providers, resolved appropriately, and returned to the vendor in accordance with established timelines. Identify documentation deficiencies and initiate...

Job Description Responsible for assisting the Production Manager in the overall management of operations to include quality, product safety, associate safety, making production metrics, staffing, budgeting, maintenance, and raw material planning. Provides advice and oversees standardization of recipes, menu preparation, portion, cost and waste control. Principal Accountabilities: 1. Responsible for compliance on FSIS-Food Safety Inspection Service issues and compliance with Good Manufacturing Practices (GMP), USDA requirements and State Agricultural standards. 2. Ensures performance targets of the team are achieved. Reviews and analyzes performance reports and develops corrective actions to address sub-standard areas of performance. 3. Responsible for meeting daily, weekly and period production objectives. Develops methods to improve and exceed productivity standards. 4. Provide frequent production equipment monitoring to ensure proper line/equipment operation and GMP...

Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues Compile audit...

Benefits 401(k) matching Competitive salary Dental insurance Health insurance Paid time off About Us We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters most—patient care. We're seeking a highly motivated and experienced Charge Posting (Coder) Supervisor to join our leadership team and help us continue delivering exceptional results to our clients across the country. Job Overview As the Medical Coder Supervisor , you will lead a group of certified coders to accurately review and approve encounters using industry coding guidelines, optimize workflow efficiency, and oversee a high-performing medical coding team. You\'ll be responsible for the training, on-going development, quality assurance audits, and covering for coder when...

Job Title: Certified Professional Coder Job Location: Hopewell, NJ Job Duration: 6 Months (possibility of extension) Payrate: $35 - $38/ hr. on w2 Job Summary: This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. The position also provides education and guidance on ICD-10-CM coding, DRG assignment, payment methodologies, and auditing practices. Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues...

POSITION SUMMARYThe Medical Staff Services & Credentialing Supervisor is responsible for the day-to-day operational supervision, oversight, and performance management of the Medical Staff Office credentialing team and administrative support functions. This role ensures that all medical staff credentialing, privileging, reappointment, and related Medical Staff processes are executed in full compliance with The Joint Commission (TJC), CMS, Medicaid, NCQA, Medical Staff Bylaws, and organizational policies.In addition, the Supervisor serves as a key operational partner to the Senior Director of Physician Services and the Delegation Analyst to ensure alignment, accountability, and consistency across credentialing and delegated credentialing functions. While the Supervisor does not own delegation work as a primary responsibility, they are expected to collaborate, escalate issues, support operational problem-solving, and provide leadership coverage as needed, including stepping in...

Job DescriptionResponsible for assisting the Production Manager in the overall management of operations to include quality, product safety, associate safety, making production metrics, staffing, budgeting, maintenance, and raw material planning. Provides advice and oversees standardization of recipes, menu preparation, portion, cost and waste control.Principal Accountabilities:1. Responsible for compliance on FSIS-Food Safety Inspection Service issues and compliance with Good Manufacturing Practices (GMP), USDA requirements and State Agricultural standards.2. Ensures performance targets of the team are achieved. Reviews and analyzes performance reports and develops corrective actions to address sub-standard areas of performance.3. Responsible for meeting daily, weekly and period production objectives. Develops methods to improve and exceed productivity standards.4. Provide frequent production equipment monitoring to ensure proper line/equipment operation and GMP compliance. Work...