• Risk Adjustment Coding

    Intermountain Health (NV)
    …expertise in the areas of national physician code sets, insurance reimbursement, coding compliance issues, and internal coding policies, procedures and ... advanced practice clinicians, their managers and staff. **Scope** The Senior II Coding Consultant is responsible for providing general expertise in the areas of… more
    Intermountain Health (09/19/24)
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  • Coding Auditor - Finance - Spectrum…

    Sharp HealthCare (San Diego, CA)
    …Years experience working as a certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor . + Experience with medical billing ... coding principles.Educates clinicians and their staff on the HCC/ Risk Adjustment coding guidelines and makes recommendations for documentation… more
    Sharp HealthCare (08/08/24)
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  • Sr. Coding Quality Auditor

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …to blue. This position is eligible for the Flex persona The Risk Adjustment Senior Coding Quality Auditor & Educator provides education and training ... educational needs, and delivery of relevant training. The Risk Adjustment Senior Coding Quality Auditor & Educator will utilize analytics to identify… more
    Blue Cross Blue Shield of Massachusetts (09/11/24)
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  • Medicare Advantage Risk Adjustment

    UCLA Health (Los Angeles, CA)
    … Provider Documentation Trainer and Auditor , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA ... Risk Adjustment...coders, and risk adjustment teams associated with the health...physicians (MD, DO, or NP) to ensure documentation and coding accuracy of ICD-10 CM codes related to chronic… more
    UCLA Health (08/29/24)
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  • BSWHP Risk Adjustment Auditor

    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 ... 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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  • Coding Auditor

    WelbeHealth (Los Angeles, CA)
    …and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor ...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work… more
    WelbeHealth (08/07/24)
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  • Onsite Coding Auditor , Admin CBO…

    Trinity Health (Fresno, CA)
    …Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing ... procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services… more
    Trinity Health (06/25/24)
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  • Staff Coding Compliance Auditor

    Geisinger (Danville, PA)
    …Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders ... Job Duties + Responsible for reviewing the reliability and integrity compliance and coding information and the means used to identify, measure, classify and report… more
    Geisinger (08/08/24)
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  • Diagnosis Related Group Auditor

    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
    Hackensack Meridian Health (09/06/24)
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  • CRC Risk Adjustment Medical Coder

    Robert Half Accountemps (Chandler, AZ)
    …Angeles is in the need of a Medical Coder for a Medical Chart Auditor . The Medical Chart Auditor whose primary responsibilities will involve verifying, ... in the Patient Accounting System or claims editing system. The Medical Chart Auditor will conduct insurance audits in conjunction with chosen payer auditors as per… more
    Robert Half Accountemps (09/08/24)
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  • Supervisor, Clinical Document Improvement

    University of Virginia (Charlottesville, VA)
    …the CDI team. Oversees compliance with Centers for Medicare & Medicaid Services' (CMS) risk adjustment guidelines as well as American Hospital Association (AHA) ... compliance activities pertaining to the Centers for Medicare & Medicaid Services' (CMS) risk adjustment guidelines as well as American Hospital Association (AHA)… more
    University of Virginia (08/27/24)
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