- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Coding Auditor II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... support the safety net required to achieve that purpose. Job Summary The Risk Adjustment Coding Auditor II position is responsible for auditing clinical… more
- CVS Health (Springfield, IL)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... and anatomy for all body systems + Understand the audit process for risk adjustment models. + Identify and communicate documentation deficiencies to allow… more
- Elevance Health (Atlanta, GA)
- …hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** Virtual: This role enables associates to ... **JR171732 Coding Auditor Sr** CareBridge Health is a proud member...project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates… more
- Amazon (Herndon, VA)
- …(AWS). We are looking for a motivated Health and Safety (H&S) Lead Auditor to drive safety compliance, continuous improvement, and operational excellence across our ... organizational H&S performance - Support the design and delivery of internal auditor training - Earn trust of operations partners through proactive and continuous… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . Position Summary The Senior Auditor in GIA will work in a team environment to plan and execute ... dynamic risk -based audits and identify value-added recommendations to strengthen Company...key third-party outsourcing arrangements. Throughout the audits, the Senior Auditor will have the opportunity to interact with senior… more
- Geisinger (Danville, PA)
- …Minimum one Coding Certification required:--Certified Professional Coder - AAPC --Certified Risk Adjustment Coder - American Academy of Professional Coders ... Job Summary The Compliance Auditor position is responsible for supporting the organization's...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …obtain within one (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description ... serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare providers on… more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC/ Risk adjustment coding. This position is remote but does require onsite education ... for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts professional… more
- WMCHealth (Valhalla, NY)
- …a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High school ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
- CVS Health (Springfield, IL)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder). + Computer proficiency including experience with… more