- Datavant (Denver, CO)
- …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
- 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
- WelbeHealth (Charleston, WV)
- …education and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with… more
- CVS Health (Oklahoma City, OK)
- …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
- Molina Healthcare (St. Petersburg, FL)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. +...be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more
- Aston Carter (Rosemont, IL)
- …involves working closely with audit team members, internal clients, and other risk management and compliance functions. The position requires occasional travel to ... + Applied knowledge of accounting concepts, audit methodologies, and risk -based auditing techniques. + Familiarity with The IIA's International Professional… more
- CVS Health (Workman, MN)
- …the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... and/or auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required.… more
- Amazon (Redmond, WA)
- …individual contributor who is creative, and passionate about delivering Governance, Risk and Compliance solutions to meet Kuiper's regulatory and external assurance ... responsibilities - Design and drive scalable processes within a GRC (Governance, Risk , and Compliance) framework to ensure compliance with Kuiper's regulatory and… more
- Amazon (Herndon, VA)
- …shared responsibility model as they migrate to the cloud. Are you a Governance, Risk , and Compliance leader who can address the challenges of migrating systems and ... cloud? Are you skilled at helping executives address their enterprise risk management requirements using highly scalable computing architectures? The AWS Security… more
- AIG (Houston, TX)
- …and will report to a Team Manager, Underwriting Support, on the AIG Risk Management Business Line. This role assists the underwriters by screening risk ... the region + Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages submission for missing information… more
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