- Datavant (Indianapolis, IN)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Trinity Health (Albany, NY)
- … adjustment payment models. . Identify coding discrepancies and work with risk adjustment auditor to communicate deficiencies to providers. **Core ... Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment… more
- Albany Medical Center (Albany, NY)
- …to providers and coding staff. Act as an expert for the HCC/ Risk adjustment coding. This position is remote but does require onsite education to providers ... for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts professional… 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
- Catholic Health Initiatives (Little Rock, AR)
- …quality and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas ... and guidelines for these new processes. + Support the Risk Auditor Manager of closely working with...Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties ... Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State:...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified… more
- Molina Healthcare (IA)
- …with reporting. + Works with other Health Plan and/or Corporate departments (eg, Risk Adjustment ) to ensure prospective and/or retrospective chart reviews and ... License (RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more
- Bristol Myers Squibb (Devens, MA)
- …integration of AI and analytics to improve efficiency, insight generation, and risk prediction. + Develop and deliver auditor training and communications, ... alignment with the EHSS management system and driving continuous improvement, risk mitigation, and compliance assurance. This role provides strategic oversight of… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …and performance by leading the development of a global EHSS risk framework, global documentation oversight, directing training development and delivery, and ... execution of core management system elements such as compliance evaluations, risk management, continuous improvement and best practice sharing. + Oversee development… more
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