Healthcare Data Quality & Coding Auditor

Internationalinsuranceprofessionals

CVS Health is seeking a full-time Medical Records Auditor in Kentucky to audit and abstract provider and vendor records for CMS risk adjustment codes. You will validate code accuracy, ensure documentation supports medical necessity, and maintain compliance with HIPAA and government regulations. Responsibilities include using standard coding evidence, performing self-audits, and communicating with providers to obtain records. #J-18808-Ljbffr Internationalinsuranceprofessionals

Apply

Vacancy posted 11 hours ago

Similar jobs that could be interesting for youBased on the Healthcare Data Quality & Coding Auditor in Brooklyn, NY vacancy

Healthcare Coding & Data Quality Auditor
CVS Health is seeking a dedicated Medical Records Coder Auditor to review and abstract provider and vendor records for CMS risk adjustment codes. You will verify that codes are accurate, documented, and compliant with state and federal regulations while upholding HIPAA...
Data
Full time
Work at office
Internationalinsuranceprofessionals
Brooklyn, NY
11 hours ago
Coding Data Quality Auditor
$18.5 - $38.82 per hour
...prioritize safety and quality in everything we do. Join... ...to identify ICD codes submitted to the Centers... ...physicians and other qualified healthcare providers in the office... ...to handle patient data with uncompromised adherence... ...Professional Medical Auditor), CDEO (Certified...
Data
Hourly pay
Full time
Temporary work
Work at office
Local area
Internationalinsuranceprofessionals
Brooklyn, NY
5 days ago
RN Quality & Compliance Analyst - Medical Records & HCC
Highmark Health seeks a qualified healthcare professional to support compliance, quality improvement, medical record review and coding across product lines. The role focuses on ICD-10... ...familiarity with HEDIS, HCC coding, and data analysis. #J-18808-Ljbffr Highmark Health
Data
Highmark Health
Brooklyn, NY
3 days ago
Clinical Documentation Quality Improvement Specialist II-Mount Sinai Brooklyn - Full-time - Day
$79.72k - $108.71k
...The Clinical Documentation Quality Improvement Specialist II is... ...caregivers, and medical records coding staff to ensure that documentation... ...expertise in CDI and data analysis in evaluating CDI accuracy... ...and other members of the healthcare team Monitors activities to...
Data
Full time
Traineeship
Local area
Mount Sinai Health System
Brooklyn, NY
a month ago
Inventory & Quality Associate
$65k - $75k
...Position: Inventory & Quality Associate Location: 150 55th Street, Brooklyn, NY 11220... ...Inventory & Quality Associate for a top healthcare client in New York City. This is a newly... ...expirations and recalls, and analyzing inventory data to identify risks and improvement...
Data
Full time
Insight Global
Brooklyn, NY
2 days ago
Clinical Quality Reviewer (Coder/Auditor)
## Clinical Quality Reviewer (Coder/Auditor)Apply: US - Remote: Full time: Posted Yesterday: JR106450**About... ..., and review standards.**Coding & Documentation Accuracy*** Review and... ...authorization workflows.* Proficiency with healthcare technology platforms and electronic...
Full time
Work at office
Immediate start
Remote work
Flexible hours
Afternoon shift
Virtix Health, LLC.
Brooklyn, NY
5 days ago
Clinical Quality & Performance Improvement Specialist
...leadership to identify, trend, and analyze clinical quality issues and drive resolutions. This part-time role manages data for internal and external reporting and... ...accreditation activities. Required: an associate degree in healthcare or related field; 5 years of healthcare quality...
Data
Part time
Ochsner Health System
Brooklyn, NY
3 days ago
Remote Clinical Quality Auditor & PA Reviewer
Virtix Health, LLC is seeking a Clinical Quality Reviewer (Coder/Auditor) to perform comprehensive clinical reviews for WISeR Prior Authorization,... ...physician determinations. The ideal candidate has CPT and ICD-10 coding experience, strong analytical and communication skills,...
Remote job
Virtix Health, LLC.
Brooklyn, NY
11 hours ago
Inpatient Coder
...full-time Inpatient Coder. Reporting to the Coding Manager and to the Director of the Health... ...system.Ensure the confidentiality of data contained on the patients’ medical records... ...your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences...
Data
Full time
SUNY Downstate Health Sciences University
Brooklyn, NY
5 days ago
Outpatient Coder
...successful candidate will:Report to the Coding Manager and Director of HIM Department.Abstract... ...system.Ensure the confidentiality of data contained in the patients medical records... ...career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University...
Data
Full time
SUNY Downstate Health Sciences University
Brooklyn, NY
5 days ago
Quality Practice Advisor
$27.02 - $48.55 per hour
...regarding the National Committee for Quality Assurance (NCQA) HEDIS... ...and appropriate coding. Assists in resolving deficiencies... ...risk adjustment performance data to identify and strategize/coach... ...building your skills while making healthcare more accessible and effective...
Data
Hourly pay
Full time
Part time
Work at office
Remote work
Flexible hours
WellCare of Kentucky
Brooklyn, NY
4 days ago
QA Analyst II/III
...over 50 years, Verisk has been the leading data analytics and technology partner to the... ...software development life cycle, including coding standards, code reviews, source control... ...scripting automated tests to ensure application quality.• Test and validate AI-driven solutions,...
Data
Verisk Analytics
Jersey City, NJ
3 days ago
AI Quality Assurance Consultant
...advanced technologies such as AI, cloud, and data-led innovation to help our clients... ...building software solutions Participate in coding and integrate new features or updates into... ...coordinate bug fixes to uphold the software quality standards Develop user training programs,...
Data
Full time
Temporary work
Relocation
Infosys Technologies
Union City, NJ
5 days ago
AI Quality Assurance Consultant
...building software solutions Participate in coding and integrate new features or updates... ...coordinate bug fixes to uphold the software quality standards Develop user training programs,... ...(like LLMs or traditional ML), define data pipelines, and ensure seamless integration...
Data
Full time
Temporary work
Relocation
Infosys Technologies
Jersey City, NJ
6 days ago
Outpatient Medical Coder (CPC) - Surgical - Temp to Perm Opportunity - Hybrid
...hire an outpatient medical coder (surgical coding)!We are an award-winning outpatient... ...established RCM leader.Expanding, stable healthcare organization with locations throughout NYC... ...Frequency varies for text messages. Message and data rates may apply. Carriers are not liable...
Data
Permanent employment
Temporary work
Work at office
Local area
Jobot
Staten Island, NY
4 days ago
Senior Lead Software Engineer - AI/ML Developer
...trusted, market-leading infrastructure and tools that empower data scientists and ML engineers to develop, deploy, and monitor... ...unified ML platform solutions. Implements secure, high-quality production code for platform services, APIs, and automation pipelines. Leads...
Data
JPMorgan Chase & Co.
Jersey City, NJ
3 days ago
MDS Coordinator RN
...RAI) process, care planning, quality measures, clinical reimbursement... ...is present to substantiate coding and reimbursement... ...Review and monitor case mix index data to ensure accurate representation... ...residents, families, physicians, and healthcare team members• Perform other...
Data
Full time
Commonwealth Care
Brooklyn, NY
5 days ago
Outpatient Coding Specialist
...Records Specialist / Outpatient Coding Specialist.Job SummaryThe... ...methodologies, and applicable healthcare reimbursement guidelines. The... ...productivity, turnaround times, and quality.Ensure the confidentiality,... ...reimbursement, maintains data integrity, and contributes to...
Data
Full time
SUNY Downstate Health Sciences University
Brooklyn, NY
4 days ago
HEDIS & Risk-Adjustment Quality Advisor — Travel
Centene is seeking a Quality Improvement professional to educate provider practices on HEDIS... ..., support documentation, and improve coding accuracy. The role involves extensive travel... ...Bachelor's degree and 3+ years in HEDIS data collection, with multiple certifications...
Data
WellCare of Kentucky
Brooklyn, NY
4 days ago
Physical Therapist Per Diem
...Diem A Per Diem Physical Therapist is a healthcare professional who provides therapy... ...Do: • Collects and records patient care data that follows format and guidelines of the... ...provided • Attends annual JAG Billing and Coding seminar • Demonstrates respectful interactions...
Data
Daily paid
Full time
JAG Physical Therapy
Hoboken, NJ
1 day ago
Salesforce Achitect
...understanding on the Salesforce development (Declarative, Apex Coding, Visual Force).Thorough understanding on the Life Cycle of Development... ...SOSL and SOQL , WorkflowsHands on experience with Tools like Data Loader, Eclipse, SoapUI, APEX Explorer, Ant Scripts, AJAX tool...
Data
Permanent employment
Full time
H1b
Flexible hours
Sonsoft
Jersey City, NJ
4 days ago
Principal Software Engineer - Databricks
...The Chief Data & Analytics Office (CDAO) at JPMorgan Chase is responsible for accelerating... ...journey. This includes ensuring the quality, integrity, and security of the company's... ...responsibilities Makes complex and scalable coding frameworks using appropriate software...
Data
Work at office
JPMorgan Chase & Co.
Jersey City, NJ
3 days ago
Orthopedic Physical Therapist at Home - Per Diem (South Brooklyn)
...therapy care by the Metro area’s largest healthcare systems and insurance providers. What... ...home • Collects and records patient care data that follows format and guidelines of the... ...• Attends annual JAG Billing and Coding seminar • Communicate with Manager/Patient...
Data
Hourly pay
Daily paid
Full time
JAG Physical Therapy
Brooklyn, NY
1 day ago
Occupational Therapist Per Diem
...therapy care by the Metro area’s largest healthcare systems and insurance providers.... ...• Collects and records patient care data that follows format and guidelines of the... ...provided • Attends annual JAG PT Billing and Coding seminar • Present 1 facility level in-...
Data
Daily paid
Full time
JAG Physical Therapy
Brooklyn, NY
4 days ago
Trauma Registrar
...assignment with one of our premier Healthcare clients working remotely PST... ...and abstract medical records, code diagnoses, and maintain accurate, timely, and accessible data. Responsibilities include... ...agencies, resolving registry quality assurance issues, and...
Data
Contract work
Remote work
Software Guidance & Assistance
Jersey City, NJ
5 days ago
Trauma Registrar
...assignment with one of our premier Healthcare clients working remotely PST... ...and abstract medical records, code diagnoses, and maintain accurate, timely, and accessible data. Responsibilities include... ...agencies, resolving registry quality assurance issues, and producing...
Data
Contract work
Remote work
Software Guidance & Assistance
Jersey City, NJ
5 days ago
Associate Product Manager, AI Agents Implementation
...what an API is doing, where data moves, why an integration breaks... ...something is hard. You use coding agents — Cursor, Claude Code,... ...escalations, Tier-2, or support quality — the people who own the... ...claims, reservations, banking, healthcare intake, logistics — paired with...
Data
Full time
Work at office
AUI™ (Augmented Intelligence)
Brooklyn, NY
2 days ago
Coding Specialist
$39.69 - $51.45 per hour
...Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000... ...Medicine. Overview Data management functions in a... ...areas; including clinical coding, outcomes management, and... ...physicians Carries out all quality control procedures required by...
Data
Maimonides Medical Center
Brooklyn, NY
4 days ago
Medical (Physiotherapist)
...therapy care by the Metro area’s largest healthcare systems and insurance providers. Benefits... ...supervision Collects and records patient care data that follows format and guidelines of the... ...PT aides Attends annual JAG Billing and Coding seminar Promotes JAG in the community...
Data
Full time
Relocation package
JAG Physical Therapy
Jersey City, NJ
4 days ago
Client Success Manager
$100k - $125k
...Remote - United States Full-time regular Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health... ...with all internal teams including: data integrations, coding management, engineering, sales, and executive teams....
Data
Full time
Remote work
Datavant
Brooklyn, NY
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Healthcare Data Quality & Coding Auditor. Be the first to apply!