- Baylor Scott & White Health (Columbus, OH)
- …AMA and the Federal Register, and sharing knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the ... scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines...identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding… more
- CareOregon (Portland, OR)
- …hired for remote positions must reside in Oregon or Washington. Job Title Coding Auditor Requisition # 24856 Exemption Status Exempt Management Level n/a ... Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and Benefits...reside in Oregon or SW Washington. Job Summary The Coding Auditor performs code audits and is… more
- Catholic Health Initiatives (Chattanooga, TN)
- …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for… more
- Hackensack Meridian Health (Hackensack, NJ)
- …+ Reviews CDI quality liaison recommendations as it relates to mortality, PSI/HAC, POA and risk adjustment codes and makes changes as needed in compliance with ... with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in filing… more
- AdventHealth (Tampa, FL)
- …and approved coding policies and procedures. . Participates in the mortality/ risk adjustment reviews when assigned. . Assists with post-payment DRG appeals. ... as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager ... reside in Oregon or SW Washington. Job Summary The Risk Adjustment Coding Manager is...coding team including tracking and managing productivity of coding auditor work and provider education. +… more
- Robert Half Office Team (St. Louis, MO)
- …billing procedures, specifically related to Medicare Billing, Medicare Claim, Medicare Risk Adjustment , Medicare Supplements, and Medicare Advantage. * Carrying ... * Minimum of 5 years of experience in Medical Coding Auditing + Experience managing a small team. *...(CMS) * Experience with Medicare Billing, Medicare Claim, Medicare Risk Adjustment , Medicare Supplements, and Medicare Advantage… more
- Amergis (San Antonio, TX)
- … Adjustment Auditing Experience (Required) + Minimum of three (3) years of HCC/ Risk Adjustment Coding Experience + Strong Experience in Medicare Advantage ... The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders.… more
- Dignity Health (Bakersfield, CA)
- …Health Services Organization (PHSO) function, specifically the Value-based Coders and the Risk Adjustment Coding and Training Specialist, to ensure ... the risk adjustment coding process is accurate and compliant...and Google applications **Preferred Qualifications:** - Certified Professional Medical Auditor (CPMA) certification preferred - Experience in developing and… more
- CenterLight Health System (NY)
- …physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random ... Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) years' experience… more
- CVS Health (Columbus, OH)
- …Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) Licensed ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… 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
- AIG (Philadelphia, PA)
- …the region + Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages submission for missing information ... in-depth understanding of coverages and program structures, as well as internal policy coding systems to ensure account completeness. + Designated as the first point… more