• Risk Adjustment Auditor…

    Centene Corporation (Tallahassee, FL)
    …of interventions at the provider and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation + Work in conjunction ... record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of… more
    Centene Corporation (09/25/24)
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  • Coding Educator - East Division

    Conviva (Columbus, OH)
    …with healthcare providers + Medical record review knowledge + Medicare Risk Adjustment knowledge + Extensive knowledge of coding guidelines (ie ICD-10) + ... and has a dotted line reporting to divisional clinical educators. Clinical Coding Educator identifies opportunities to improve provider documentation and creates… more
    Conviva (09/19/24)
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  • Revenue Cycle Coding Educator

    UTMB Health (Mcallen, TX)
    …* Coordinate and present education of providers, practices and coders related to risk adjustment , coding and documentation. * Review and distribute ... Revenue Cycle Coding Educator (Partial Remote, South Texas) - Revenue Cycle Coding (Rio Grande Valley) **McAllen, Texas, United States** **Hot** Business,… more
    UTMB Health (07/26/24)
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  • Risk Adjustment Coding

    Intermountain Health (Las Vegas, NV)
    …Health Administration Services, or Public Health. Three years of experience in a risk specific role consulting on coding -related issues. - and - Experience ... the areas of national physician code sets, insurance reimbursement, coding compliance issues, and internal coding policies,...- or - Six years of experience as trainer, educator , or consultant. - and - One year of… more
    Intermountain Health (09/19/24)
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  • Health Risk Educator Consultant

    CVS Health (Columbus, OH)
    …opportunities for process improvements at the practice level to improve overall risk adjustment scores and gaps. Identifies opportunities to promote quality. ... medical services and interventions during chart reviews including proper coding and claim submission for services rendered. Serves as...Shares best practices in risk adjustment across all sites/regions. Simultaneously manages… more
    CVS Health (09/29/24)
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  • BSWHP Risk Adjustment Auditor I

    Baylor Scott & White Health (Columbus, OH)
    …Federal Register, and sharing knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the clinics on ... strategies and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range...identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding more
    Baylor Scott & White Health (09/14/24)
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  • Reimbursement Coordinator Senior - Geisinger…

    Geisinger (Danville, PA)
    …Certified Professional Coder - American Academy of Professional Coders (AAPC Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC) ... Minimum of 10 years-Relevant experience* (Required) Certification(s) and License(s) Certified Risk Adjustment Coder - American Academy of Professional Coders… more
    Geisinger (07/25/24)
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