• Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Salt Lake City, UT)
    …categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing ... **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health… more
    Highmark Health (03/04/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Salt Lake City, UT)
    …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... + Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and… more
    Baylor Scott & White Health (03/13/25)
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  • Occupational Health Nurse

    Edwards Lifesciences (Salt Lake City, UT)
    …the first and primary care nurse for onsite occupational health services. The occupational specialist role serves our campus as the point of contact and expert for ... as a liaison between the company and stakeholders such as our offsite clinical partners, the insurance company, and others. The occupational health specialist more
    Edwards Lifesciences (02/22/25)
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  • Coding Auditor Educator

    Highmark Health (Salt Lake City, UT)
    …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more
    Highmark Health (02/07/25)
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