• Risk Coder

    Brockton Hospital (West Bridgewater, MA)
    …Summary: Under the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder , the primary function of this position is to ensure accurate ... problem solving and performance monitoring for associates. Works with Senior Risk Coder and Team members to perform Retrospective audits for identified open… more
    Brockton Hospital (12/03/24)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Providence, RI)
    …Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) ... identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent… more
    CVS Health (12/25/24)
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  • Manager, Medicaid Risk Adjustment

    CVS Health (Providence, RI)
    …have strong communication and/or presentation skills. **Preferred Qualifications** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) ... team player to lead a suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better...Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment, the Market Manager will work closely with… more
    CVS Health (01/04/25)
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  • Physician Billing Coder (Hybrid)

    Children's Hospital Boston (Boston, MA)
    …payment records to ensure compliance with medical records and coding standards. The coder assesses coding accuracy and risk , prepares reports, and provides ... 78357BRJob Posting Title:Physician Billing Coder (Hybrid)Department:NeurologyAutoReqId:78357BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:Hospital… more
    Children's Hospital Boston (01/14/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Providence, RI)
    **JOB SUMMARY** Accountable for reviewing member records to 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 for this...(CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health… more
    Baylor Scott & White Health (01/18/25)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Smithfield, RI)
    …of mutual concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. **Minimum Requirements:** + ... an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including… more
    Elevance Health (12/31/24)
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