- Datavant (Hagatna, GU)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Information Technology Services, Office of Title Information Systems Auditor 2 ITS - 10271 Occupational Category IT Engineering, Sciences Salary Grade ... the direction of the Internal Audit Manager (Information Systems Auditor 3) SG-31, the incumbent will oversee the Quality...not limited to, the following: * Continuous auditing of high- risk areas, such as general and technical controls for… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Information Technology Services, Office of Title Information Systems Auditor 3 ITS - 10265 Occupational Category IT Engineering, Sciences Salary Grade ... with directing activities of the Internal Audit Unit. The Information Systems Auditor 3 ITS establishes priorities of technical and operational audits for all… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Information Technology Services, Office of Title Information Systems Auditor 1 QA - 10272 Occupational Category IT Engineering, Sciences Salary Grade ... at any time.Under the direction of an Information Systems Auditor 2 SG-27, the incumbent will perform audit and...not limited to, the following: * Continuous auditing of high- risk areas, such as general and technical controls for… more
- Elevance Health (Atlanta, GA)
- …hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** Virtual: This role enables associates to ... **JR171732 Coding Auditor Sr** CareBridge Health is a proud member...project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates… more
- State of Indiana (Indianapolis, IN)
- Revenue Tax Auditor Date Posted: Dec 5, 2025 Requisition ID: 469204 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State ... a Top Workplace employer. Role Overview: The Revenue Tax Auditor conducts field audits on behalf of the State...an annual salary of $53,222 with the opportunity for adjustment based on relevant experience and skill sets of… more
- Amazon (Herndon, VA)
- …(AWS). We are looking for a motivated Health and Safety (H&S) Lead Auditor to drive safety compliance, continuous improvement, and operational excellence across our ... organizational H&S performance - Support the design and delivery of internal auditor training - Earn trust of operations partners through proactive and continuous… more
- Geisinger (Danville, PA)
- …Minimum one Coding Certification required:--Certified Professional Coder - AAPC --Certified Risk Adjustment Coder - American Academy of Professional Coders ... Job Summary The Compliance Auditor position is responsible for supporting the organization's...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …obtain within one (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description ... serve as a leader of positive change. The **Physician Billing (PB) Coding Auditor and Educator** is responsible for auditing and educating healthcare providers on… more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC/ Risk adjustment coding. This position is remote but does require onsite education ... for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts professional… more
- WMCHealth (Valhalla, NY)
- …a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High school ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info… more
- Catholic Health Initiatives (Little Rock, AR)
- …quality and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas ... and guidelines for these new processes. + Support the Risk Auditor Manager of closely working with...Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement… more
- Johns Hopkins University (Baltimore, MD)
- …such as claims processing, premium billing, encounter data, utilization management, risk adjustment , provider contracting, quality metrics, and related ... and administrative control procedures, and good business practices; ability to assess risk relative to the proper application of internal controls. Reports To +… more
- Amazon (Nashville, TN)
- …shared responsibility model as they migrate to the cloud. Are you a Governance, Risk , and Compliance leader who can address the challenges of migrating systems and ... cloud? Are you skilled at helping executives address their enterprise risk management requirements using highly scalable computing architectures? The AWS Security… more
- Amazon (Redmond, WA)
- …throughout the manufacturing process. We achieve this by conducting risk -based assessments at each location, aggregating findings, managing remedial actions ... a week - 8+ years of auditing business processes, risk mitigation, program compliance or internal audits experience Preferred...CPI, CISM, or PMP Certification - . TAPA Certified Auditor (FSR, TSR) Amazon is an equal opportunity employer… more
- Amazon (Seattle, WA)
- …financial and risk analysis. -Support ongoing actuarial support for outside auditor review of financial estimates and results. -Design studies to monitor the ... reporting and ad-hoc analysis relating to cost of care management -Medicare Risk score projections and premium estimation -Design and implement an actuarially sound… 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 (Atlanta, GA)
- …of the unit's field operations. This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The role also performs ... the region + Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages submission for missing information… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …and performance by leading the development of a global EHSS risk framework, global documentation oversight, directing training development and delivery, and ... execution of core management system elements such as compliance evaluations, risk management, continuous improvement and best practice sharing. + Oversee development… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or… more