- Datavant (Denver, CO)
- …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
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . Position Summary The Senior Auditor in GIA will work in a team environment to plan and execute ... dynamic risk -based audits and identify value-added recommendations to strengthen Company...key third-party outsourcing arrangements. Throughout the audits, the Senior Auditor will have the opportunity to interact with senior… 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
- Humana (Columbia, SC)
- …Actuarial + Certified Internal Auditor , CPA or CPC strongly preferred + Risk Adjustment knowledge + Experience with PowerBI for advanced data visualization ... Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and...forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Datavant (Madison, WI)
- …vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ... of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help...hires released to the production team by being their auditor -buddy. + Conducts one on one with coders focused… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties ... Compliance Auditing Specialist- Remote /Hybrid available Company: NorthEast Provider Solutions Inc. City/State:...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified… more
- Molina Healthcare (IA)
- …with reporting. + Works with other Health Plan and/or Corporate departments (eg, Risk Adjustment ) to ensure prospective and/or retrospective chart reviews and ... License (RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more
- Humana (Providence, RI)
- …reporting on progress, challenges, and achievements to management. + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs ... and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
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