- Trinity Health (Albany, NY)
- … adjustment payment models. . Identify coding discrepancies and work with risk adjustment auditor to communicate deficiencies to providers. **Core ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote… more
- Actalent (Paramus, NJ)
- Job Title: GCP Auditor /Senior Auditor , Quality Assurance The GCP Quality Assurance Auditor /Senior Auditor will play a crucial role in ensuring compliance ... and conduct audits of specific clinical processes based on risk . + Perform clinical vendor audits alongside various SMEs...The team consists of four members, including one GCP auditor and one PV auditor . The company… more
- Elevance Health (Norfolk, VA)
- …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
- Aston Carter (Sioux Falls, SD)
- Job Title: Compliance AuditorJob Description As a Compliance Auditor , you will play a crucial role in supporting the Compliance Leadership team, including the Chief ... performance of internal audits, identify compliance risks, and manage vendor risk processes. Responsibilities + Assist in creating and maintaining compliant… 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
- UCLA Health (Los Angeles, CA)
- …and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk -based audits, ... contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide...audit toolkits based on Medicare Advantage and Part D risk areas. * Collaborate with stakeholders and leadership to… 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 (Columbia, SC)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient in abstraction and assignment of… more
- Dollar Tree (Odessa, TX)
- …Repackages, salvages or destroys according to established guidelines. Provides damage adjustment information to Inventory Control Management. Complies with all FDA, ... policies and procedures. **Safety Conscious:** Does not put self or others at risk of injury. Must be aware of personal responsibility in safety of themselves… more
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