• Coding Data Quality Auditor

    CVS Health (Columbus, OH)
    …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
    CVS Health (09/27/25)
    - Related Jobs

  • Quality Senior Analyst

    CVS Health (OH)
    …highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines ... to vendors, providers and other team members for questions regarding ICD coding and documentation requirements. + Comprehensive knowledge of coding guidelines… more
    CVS Health (09/30/25)
    - Related Jobs

  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Columbus, OH)
    …healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
    Datavant (08/08/25)
    - Related Jobs

  • Director of Client Success, Payer Risk Adjustment

    Datavant (Columbus, OH)
    …aligned with departmental needs and organizational goals. + Partner with the coding operations, coding quality, data integration, product, and engineering teams ... strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a… more
    Datavant (07/18/25)
    - Related Jobs