- Molina Healthcare (Idaho Falls, ID)
- …**Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited ... file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and… more
- Datavant (Boise, ID)
- …coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...and verbal communication skills, ability to work in a remote environment and time management skills + Working knowledge… more
- Humana (Boise, ID)
- …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more