Claims Quality Audit Supervisor jobs in New York, NY

Claims Quality Audit Supervisor supervises and coordinates daily activities of claims quality auditors. Provides assistance in developing claims audit policies and procedures. Being a Claims Quality Audit Supervisor solves day-to-day problems and monitors the results of daily staff activities, reports critical issues and problems to the management. Typically requires a bachelor's degree. Additionally, Claims Quality Audit Supervisor typically reports to a manager. The Claims Quality Audit Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Thorough knowledge of department processes. To be a Claims Quality Audit Supervisor typically requires 3-5 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Claims Audit Extern
  • PROGYNY
  • New York, NY FULL_TIME
  • Thank you for considering Progyny!

    Progyny [NASDAQ: PGNY] is a leading healthcare company reshaping family building by providing innovative fertility benefits to millions of people. Progyny has refined a differentiated approach to plan design, network development, and member experience that enables members to achieve more favorable outcomes than national averages along key fertility metrics. We are looking for a Certified Professional Coder or Certified Professional Coder-Apprentice to join our team as a Claims Audit Intern.

    What you'll be doing...

    • Participate in claims audits, quality assurance reviews, to identify coding discrepancies and areas for improvement.

    • Provide education and training to provider clinics and stakeholders on coding best practices and compliance requirements.

    • Review provider documentation to ensure accuracy and compliance with coding guidelines.

    • Assist in special projects including tracking, reporting, and execution of procedures.

    • Work cross-functionally with various departments to ensure alignment on audit initiatives and operational goals.

    About you...

    • CPC-A, CPC, CCA, CCS or CCS-P certification required

    • Strong Microsoft Office (PowerPoint, Excel, Word) skills and ability to efficiently work with large volumes of data and pivot tables

    • Excellent communication and interpersonal skills

    • Must be comfortable working independently in a fast-paced environment with time management skills, attention to detail, and demonstrated ability to multitask

    • Must be driven to deliver results with the ability to establish rapport, earn trust, and effectively collaborate with others

    • Demonstrated ability to be adaptive and inquisitive, natural problem solver

    • Comfortable collaborating with and presenting to executives and clinics

    *This is a paid internship, please submit your resume and cover letter when applying.

    About Progyny:

    Progynyis a transformative fertility, family building and women's health benefits solution, trusted by the nation's leading employers, health plans and benefits purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians.

    Our benefits solution empowers patients with concierge support, coaching, education, and digital tools;provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.

    Our mission is toempower healthier, supported journeys through transformative fertility, family building and women's health benefits.

    Headquartered in New York City, Progyny has been recognized for its leadership and growth. Come join a company that has been recognized by CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times, INC. 5000, Inc Power Partners and Crain's Fast 50 for NYC.

    Our perks:

    • Family friendly benefits: Paid family and parental leave-, fertility and family building benefits (including egg freezing, IVF, and adoption support), family care fund and Parents' Employee Resource Group

    • Health, dental, vision and life insurance options for employees and family

    • Free in-person, virtual and text-based mental health and wellness support

    • Paid time off, including vacation, sick leave, personal days and summer flex time

    • Company equity

    • Bonus program

    • 401(k) plan with company match

    • Access to on-demand legal and financial advice

    • Company social events

    • Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office

    In compliance with New York City's Wage Transparency Law, the annual salary [wage] range for NYC-based applicants is: $20 - $25 per hour. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.

    Progyny is proud to be anEqual Opportunity and Affirmative Action employer.We respect and seek to empower each individual and support the diverse cultures, perspectives,skillsand experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.

    If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to .

     

  • 2 Days Ago

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Claims Audit Extern
  • PROGYNY
  • New York, NY FULL_TIME
  • Thank you for considering Progyny!Progyny [NASDAQ: PGNY] is a leading healthcare company reshaping family building by providing innovative fertility benefits to millions of people. Progyny has refined...
  • 2 Days Ago

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Audit Supervisor
  • PKF O'Connor Davies
  • Harrison, NY OTHER
  • Overview The Audit Supervisor will primarily be responsible for leading and performing a variety of commercial audit engagements. The supervisor will manage audit staff, supervise the engagement in th...
  • 26 Days Ago

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Audit Supervisor
  • PKFOD
  • Harrison, NY FULL_TIME
  • The Audit Supervisor will primarily be responsible for leading and performing a variety of commercial audit engagements. The supervisor will manage audit staff, supervise the engagement in the field a...
  • Just Posted

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Audit Supervisor
  • Brown Brothers Harriman & Co.
  • New York, NY FULL_TIME
  • At BBH we value diverse backgrounds, so if your experience looks a little different from what we've outlined and you think you can bring value to the role, we will still welcome your application! What...
  • 1 Month Ago

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Audit Supervisor
  • Distinct
  • New York, NY FULL_TIME
  • By joining this CPA firm, you will be part of and representing one of the top employers in public accounting firms in NY state.That sounds interesting but what does that mean for you?One of the reason...
  • 1 Month Ago

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0 Claims Quality Audit Supervisor jobs found in New York, NY area

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Nursing Quality Specialist (1121957_RR00086129)
  • NYU Langone Medical Center
  • New York, NY
  • NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in c...
  • 4/30/2024 12:00:00 AM

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Engineering Supplier Quality Specialist
  • Manufacturing Facility
  • New York, NY
  • Job Description Job Description This position is especially suitable for those who've gained experience in fields that i...
  • 4/30/2024 12:00:00 AM

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Software Developer Quality Professional - Pharmaceutical
  • Careerbuilder
  • Nutley, NJ
  • Software Developer Quality Professional - Pharmaceutical Job ID: 942286 Nutley , New Jersey Job Type: Contract Added - 0...
  • 4/29/2024 12:00:00 AM

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Quality Operations Specialist
  • Kedrion Biopharma, Inc.
  • Melville, NY
  • Kedrion Biopharma is a biopharmaceutical company specializing in the development, production and distribution of plasma-...
  • 4/29/2024 12:00:00 AM

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Quality Specialist - Final Inspection
  • Marotta
  • Montville, NJ
  • Come grow with Marotta! One of NJ's fastest growing technology companies, named a New Jersey Top Workplace for 2022 & 20...
  • 4/29/2024 12:00:00 AM

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Quality Specialist
  • Jti
  • Teaneck, NJ
  • Description:We're JTI, Japan Tobacco International and we believe in freedom . We think that the possibilities are limit...
  • 4/28/2024 12:00:00 AM

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Quality Specialist
  • Insight Global
  • Morris Plains, NJ
  • Insight Global Quality Specialist Morris Plains , New Jersey Apply Now One of our large pharmaceutical clients is lookin...
  • 4/28/2024 12:00:00 AM

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Chief Quality Officer
  • Partnership for Children of Essex
  • Bloomfield, NJ
  • Job Description Job Description The Partnership for Children of Essex (PCE) is a non-profit organization dedicated to cr...
  • 4/26/2024 12:00:00 AM

The City of New York, usually called either New York City (NYC) or simply New York (NY), is the most populous city in the United States. With an estimated 2017 population of 8,622,698 distributed over a land area of about 302.6 square miles (784 km2), New York is also the most densely populated major city in the United States. Located at the southern tip of the state of New York, the city is the center of the New York metropolitan area, the largest metropolitan area in the world by urban landmass and one of the world's most populous megacities, with an estimated 20,320,876 people in its 2017 M...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Supervisor jobs
$84,819 to $106,287
New York, New York area prices
were up 1.6% from a year ago

Claims Quality Audit Supervisor in Provo, UT
Based on our compensation data, the estimated salary potential for Claims Quality Audit Supervisor will increase 16 % over 5 years.
January 29, 2020