- Elevance Health (Norfolk, VA)
- …data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** ... **JR171732 Coding Auditor Sr** CareBridge Health is...project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates… more
- 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
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …and serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare ... obtain within one (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description… 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 ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
- WMCHealth (Valhalla, NY)
- …in a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and identifying opportunities for improvement as… 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, ... Audit, you will contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide regulatory readiness and… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code...clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing ... concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure the accuracy and completeness of medical record… more
- SSM Health (MO)
- …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical documentation… more