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Healthcare administration Jobs in Rochester, NY

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Healthcare administration • rochester ny

Last updated: 10 hours ago
  • Promoted
Healthcare Compliance Auditor - Enterprise Risk

Healthcare Compliance Auditor - Enterprise Risk

Bon Secours Mercy HealthRochester, NY, US
Full-time
Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to hos...Show moreLast updated: 1 day ago
Security Officer - Healthcare Patrol Team

Security Officer - Healthcare Patrol Team

Allied UniversalRochester, NY, United States
Full-time +1
Company Overview : Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcom...Show moreLast updated: 4 days ago
  • Promoted
Advisor - Healthcare

Advisor - Healthcare

PRochester, NY, US
Full-time
PG Forsta is the leading experience measurement, data analytics, and insights provider for complex industriesa status we earned over decades of deep partnership with clients to help them understand...Show moreLast updated: 1 day ago
  • Promoted
Mgr. Clinical Administration

Mgr. Clinical Administration

University of RochesterRochester, NY, US
Full-time
Child And Adolescent Division Leadership Team Member.As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we sh...Show moreLast updated: 10 days ago
Estate Administration Paralegal

Estate Administration Paralegal

Nadine Bocelli & Company, Inc.Nassau County
Full-time
Fast-paced, well-established law firm is hiring an Estate Administration Paralegal to join its Nassau County, New York team. The ideal candidate is a bright, articulate, detail-oriented and motivate...Show moreLast updated: 30+ days ago
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  • New!
Executive Director of Administration, Simon School

Executive Director of Administration, Simon School

NY StaffingRochester, NY, US
Full-time
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better.Embedded in that ideal are the values we share : equity, leadership, integrity, openness, respect...Show moreLast updated: 10 hours ago
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Administration / Virtual Assistant

Administration / Virtual Assistant

TradeJobsWorkForce14621 Rochester, NY, US
Full-time
Administration / Virtual Assistant Job Duties : As a Virtual Assistant, you will perform various administrative tasks, includin...Show moreLast updated: 30+ days ago
  • Promoted
Asset Manager / Facilities Manager - Healthcare

Asset Manager / Facilities Manager - Healthcare

BernhardRochester, NY, US
Full-time
The Asset Manager IV will be responsible to work with a set of company customers to review energy usage and strategies in order to implement the best practices. This will include directly managing t...Show moreLast updated: 16 days ago
  • Promoted
Physician Assistant (PA) - Administration in Brooklyn, NY

Physician Assistant (PA) - Administration in Brooklyn, NY

LocumJobsOnlineRochester, New York, US
Full-time
LocumJobsOnline is working with AAS Locum Tenens to find a qualified Administration PA in Brooklyn, New York, 11202!.We are seeking a Per Diem / On-Call Physician Assistant (PA) to join our healthcar...Show moreLast updated: 30+ days ago
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Territory Sales Representative - Healthcare

Territory Sales Representative - Healthcare

Staples, Inc.Rochester, NY, US
Full-time
Staples is business to business.Hunts within defined territory to prospect and win net new small to medium business customers. B2Bs are also responsible to ramp and onboard net new won accounts to f...Show moreLast updated: 10 days ago
  • Promoted
Commercial Credit Analyst, Healthcare

Commercial Credit Analyst, Healthcare

M&T BankRochester, NY, US
Full-time
A member of the Commercial Credit team that partners with senior team members supporting the duties of underwriting and the on-going monitoring of a portfolio of credit relationships.Responsible fo...Show moreLast updated: 3 days ago
Administration Services Supervisor

Administration Services Supervisor

MaximusRochester, US
Full-time
Description & Requirements Maximus is currently hiring for an Administration Services Supervisor to support our New York State of Health (NYSOH) team. This is a hybrid-remote opportunity that...Show moreLast updated: 2 days ago
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  • New!
Account Executive- Behavioral Healthcare Expansion

Account Executive- Behavioral Healthcare Expansion

Banyan SoftwareRochester, NY, US
Permanent
Account Executive- Behavioral Healthcare Expansion.Banyan Software provides the best permanent home for successful enterprise software companies, their employees, and customers.We are on a mission ...Show moreLast updated: 22 hours ago
Healthcare Specialist

Healthcare Specialist

Stericycle, New York Work From Home, Rochester, NY
Full-time
Requisition Id : 38060 Job Function : Field Services Operations Career Area : Operations Work Location : Buffalo, NY •, New York Work From Home, Rochester, NY •. Starting Salary $60,000-$67,000 (BOE), Gre...Show moreLast updated: 21 days ago
  • Promoted
Territory Sales Representative - Healthcare

Territory Sales Representative - Healthcare

StaplesRochester, NY, US
Full-time
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Show moreLast updated: 14 days ago
Healthcare Analyst

Healthcare Analyst

VirtualVocationsRochester, New York, United States
Full-time
A company is looking for a Healthcare Analyst III responsible for trend analysis and presenting findings to management.Key Responsibilities Analyze membership, provider, and claims data to identi...Show moreLast updated: 30+ days ago
Sr. Solutions Engineer (Healthcare)

Sr. Solutions Engineer (Healthcare)

HoneywellPittsford, NY, United States
Full-time
Nasdaq : HON) invents and commercializes technologies that address some of the world's most critical challenges around energy, safety, security, air travel, productivity, and global urbanization.We ...Show moreLast updated: 30+ days ago
Healthcare Business Admin Intern (Operations) - REMOTE

Healthcare Business Admin Intern (Operations) - REMOTE

Molina HealthcareRochester, NY, United States
Remote
Full-time
JOB DESCRIPTION • • • •Job Summary • • The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in ...Show moreLast updated: 17 days ago
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Healthcare Compliance Auditor - Enterprise Risk

Healthcare Compliance Auditor - Enterprise Risk

Bon Secours Mercy HealthRochester, NY, US
1 day ago
Job type
  • Full-time
Job description

Compliance Auditor

Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle services performed for Bon Secours Mercy Health.

  • Please note this role is remote, but requires living in the continental US and working hours in alignment with Eastern Time.

Essential Job Functions :

  • Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of compliance internal monitors and audit protocols and the prevention of fraud, waste and abuse.
  • Develops compliance monitors and audit protocols specific to hospital revenue cycle risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud; Managed Care or Governmental Value-Based payment programs and / or other enforcement agencies on behalf of Bon Secours Mercy Health.
  • Coordinates periodic review and analysis of Bon Secours Mercy Health hospital claims denial reports, operational assessment reports, internal quality control reviews, internal and external third party claims payment peer analysis systems to detect provider-billing trends, potential fraudulent or abusive billing practices or vulnerabilities indicative of potential underlying operational compliance issues.
  • Utilizes data analytics techniques, statistical analysis and modeling, and databases developed internally, or in conjunction with other third party vendors to detect and trend potential claims and billing compliance issues relative to revenue cycle risk areas
  • Assists in auditing and investigations requested by the System Director, Compliance.
  • Assists in the development of compliance corrective action plans (CAP), oversight tools and technical edit enhancements to support revenue cycle services compliance and privacy efforts.
  • Assists in and tracking of all activities related to recovery and repayment of inappropriate payments discovered as a result of claims audit or investigation.
  • Maintains awareness of fraud, waste and abuse laws and regulations and current industry changes that may impact healthcare revenue cycle services domestic and international through personal initiative, continuing education and peer-to-peer networking.
  • Ensures that the System Director, Compliance is apprised of local, remote and client-network emerging issues, adverse outcomes and / or deficiencies that could impact Bon Secours Mercy Health's public status.
  • Develops educational content on documentation, coding, and trending of non-compliant activities to enhance compliance proficiency and competency, understanding of standards and the consequences of non-compliance.
  • Prepares multi-faceted oral, written and electronic communications and presentations to facilitate discussion, networking, decision-making and proactive responses to meet current and emerging challenges among affected parties and entities.
  • Qualifications :

  • CCS, CPC, RHIT, or RHIA required.
  • Auditing Experience, Experience with EPIC Electronic Medical Records System preferred.
  • Two to four years of in-depth experience within healthcare operations, healthcare auditing, or coding / billing either from a consulting perspective or as an employee / manager required.
  • Demonstrated working knowledge of Medicare and Medicaid, Insurance Managed Care including documentation, coding, reimbursement methodologies, as well as extensive familiarity with Department of Health and Human Services Office of Inspector General (OIG) and Centers for Medicare and Medicaid Services (CMS) rules, regulations and compliance guidance required.
  • Excellent analytic and problem-solving skills to process auditing and monitoring reports, identify compliance risks and prioritize recommendations preferred.