• Hierarchical Condition Category (HCC)…

    Highmark Health (Columbus, OH)
    …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
    Highmark Health (03/04/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Columbus, OH)
    …accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines of business subject to ... risk adjustment . **Salary Range:** The pay range...EXPERIENCE - 2 Years of Experience **CERTIFICATION/LICENSE/REGISTRATION** + Cert Coding Specialist (CCS), Cert Coding more
    Baylor Scott & White Health (03/13/25)
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  • Operations Resolution Specialist - Provider…

    Trinity Health (Columbus, OH)
    …Ohio Insurance License (Life and Health) or obtained within 90 days of hire. Risk Adjustment department: None + Experience: One to three years experience ... and do the right thing. **Position Purpose:** The Operations Resolution Specialist researches, analyzes, documents, and coordinates the resolution of escalated… more
    Trinity Health (02/05/25)
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