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TEKsystems
New York
Description: Day to Day: Assist team leaders, sr. managers / managers, and sr. auditors in accomplishing audit objectives in a team environment Understands, identifies, evaluates and documents key risks and controls Translate business risks, controls and supporting data into analytic requirements and partners with a development team to build audit
Job Source: TEKsystemsNYC Health Hospitals
New York, NY, United States
Empower Every New Yorker - Without Exception - to Live the Healthiest Life Possible NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consist
Job Source: NYC Health HospitalsNJ Transit
Newark
Senior Auditor Internal Audit Job Description: Move forward with us! At NJ TRANSIT, you'll be joining us in transforming the third-largest transportation agency in North America. We are committed to delivering safe, reliable service that gets our customers to their destinations on time—and we’re looking to hire talented folks with a love of learnin
Job Source: NJ TransitNYU Rory Meyers College of Nursing
New York
Position Summary As part of the NYU Internal Audit and Enterprise Risk Management department, the Staff Auditor will be part of the internal audit core team. The Staff Auditor will perform innovative financial, compliance, and operational audits in accordance with the standards promulgated by the Institute of Internal Auditors. The candidate will b
Job Source: NYU Rory Meyers College of NursingMetLife
New York
Role Title: Senior Auditor Hybrid role, 200 Park Ave, NYC. (Bridgewater, NJ candidates will need to travel to NYC during an audit, a few times that week.) Role Value Proposition: Internal Audit (IA) is an independent, global organization that plays an important role in partnering with the business to ensure that management anticipates, recognizes,
Job Source: MetLifeTEKsystems
New York
This Internal Auditor position requires the candidate to have experience with Mortgage and / or Retail Banking. This role is FULLY REMOTE. Description: - Leads and participates in audits from planning to reporting and produces quality deliverables in accordance with the Division's methodology and professional standards while ensuring timely complet
Job Source: TEKsystemsPfizer
New York
**ROLE** **SUMMARY** Regulatory Quality Assurance (RQA) is an independent Quality audit function within the Compliance division, accountable to identify risks and non- compliance associated with Pfizer's GxP regulated operations. The Senior Manager Auditor, is responsible for the delivery and execution of the global Quality Assurance (QA) program a
Job Source: PfizerPfizer
New York City
**ROLE** **SUMMARY** Regulatory Quality Assurance (RQA) is an independent Quality audit function within the Compliance division, accountable to identify risks and non- compliance associated with Pfizer's GxP regulated operations. The Senior Manager Auditor, is responsible for the delivery and execution of the global Quality Assurance (QA) program a
Job Source: PfizerHackensack
**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. It’s 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 **Ambulatory Payment Classification (APC) Auditor** performs all related internal, concurrent, prospective and retrospective coding audit activities across the Hackensack Meridian Health (HMH) network. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to APC's, ICD 10 (International Classification of Diseases), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Level II code and modifier assignments according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information for process changes, risk reduction and optimization of reimbursement in accordance with coding principles and guidelines.
**Responsibilities**
A day in the life of a **Ambulatory Payment Classification (APC) Auditor** at **Hackensack Meridian** **_Health_** includes:
+ Assist with developing coding quality improvement initiatives.
+ Analyze, review and resolve coding and documentation issues that are related to reimbursement, compliance and revenue enhancement.
+ Perform focused second level coding quality reviews, as needed, to support improving coding quality.
+ Document relevant trends of inaccurate coding and areas that are high risk for compliance issues.
+ Assist with conducting investigation and research of existing policies, guidelines and precedent cases in publications such as Federal Register, American Hospital Association (AHA) Coding Clinic, and American Health Information Management Association (AHIMA) Journal to support internal policy development.
+ Additional research will include Agency for Healthcare Research and Quality (AHRQ), Recovery Audit Program (RAC) Statement-of-Work (SOW), Office of Inspector General (OIG) Coding Compliance Plan and Correct Coding Initiative Guidelines.
+ Assist with special projects assigned by management.
+ Other duties and/or projects as assigned.
+ Adheres to HMH Organizational competencies and standards of behavior.
**Qualifications**
**Education, Knowledge, Skills and Abilities Required:**
+ High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
+ Minimum of 4+ years of experience in Hospital Trauma 1 or Academic Teaching facility.
+ Excellent written and verbal communication skills.
+ Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
+ Detail-oriented and organized.
+ Demonstrate advanced knowledge of APC-based reimbursement, medical necessity documentation requirements, guidelines for Observation services, etc.
+ Knowledge of how to research within the Medicare Claims and Processing Manuals.
**Education, Knowledge, Skills and Abilities Preferred:**
+ Associate's Degree or higher in Health Information Management or healthcare related field.
+ Prior auditing experience.
**Licenses and Certifications Required:**
+ An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
**Job ID** _2024-148004_
**Department** _HIM Outpatient Coding_
**Site** _HMH Hospitals Corporation_
**Job Location** _US-NJ-Hackensack_
**Position Type** _Full Time with Benefits_
**Standard Hours Per Week** _40_
**Shift** _Day_
**Shift Hours** _Day_
**Weekend Work** _Weekends as Needed_
**On Call Work** _No On-Call Required_
**Holiday Work** _As Needed_
Email Alert for Ambulatory Payment Classification (APC) Auditor_ jobs in Hackensack
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