• Health System Specialist (Integrity…

    Veterans Affairs, Veterans Health Administration (Montgomery, AL)
    …is effective. Develop and implement internal controls and solutions in partnership with risk owners to manage and mitigate key risks that may adversely impact local ... local health care system-wide reviews of internal controls over prioritized risk areas and determine adequacy in preventing compliance failures. Performs other… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Montgomery, AL)
    …**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 (01/18/25)
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  • Medical Record Retrieval Specialist

    Highmark Health (Montgomery, AL)
    …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
    Highmark Health (12/18/24)
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