- 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
- Actalent (Indianapolis, IN)
- …Assurance + Audit + Regulatory Compliance + GXP + GMP Manufacturing + ISO Certified Auditor + Risk Management + Internal Audit + External Audit + Corrective and ... IMMEDIATE HIRING: Lead Sr. QA Compliance Auditor (Indianapolis, IN) Interested in this role? Reach...- Strong understanding of ISO 15189, ISO 13485, and risk -based auditing methodologies. * Skills: - Strong communication, organizational,… more
- Actalent (Indianapolis, IN)
- …Assurance + Audit + Regulatory Compliance + GXP + GMP Manufacturing + ISO Certified Auditor + Risk Management + Internal Audit + External Audit + Corrective and ... IMMEDIATE HIRING: Sr. QA Compliance Auditor (Indianapolis, IN) Interested in this role? Reach...GMP Manufacturing, and ISO certification. + Strong skills in Risk Management, Regulatory Audit, and Compliance. + Certification as… more
- CVS Health (Indianapolis, IN)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... and anatomy for all body systems + Understand the audit process for risk adjustment models. + Identify and communicate documentation deficiencies to allow… more
- State of Indiana (Indianapolis, IN)
- Internal Auditor Date Posted: Oct 29, 2025 Requisition ID: 467674 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... revenue. We are a Top Workplace employer. Role Overview: The Internal Auditor performs independent and objective assurance and consulting activities designed to add… 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
- Aston Carter (Miami, FL)
- Sr Internal Auditor needed in the Miami FL area! This is hybrid role with a large company that offers amazing benefits! Must have an active CPA license Job ... Description We are seeking a detail-oriented and experienced Sr Internal Auditor to conduct operational, financial, and compliance audits across various business… 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
- Avera (Sioux Falls, SD)
- …(CPC) - American Academy of Professional Coders (AAPC) Upon Hire or + Certified Risk Adjustment Coder (CRC) - American Academy of Professional Coders (AAPC) Upon ... of information between medical record and billing departments. A successful Auditor assists in the organization and presentation of educational workshops and… more
- Actalent (Charleston, SC)
- Clinical Research Internal Auditor Job Description We are seeking a dedicated and experienced research professional to join our team in a role that involves ... conducting audits of national cooperative group trials, ensuring compliance with high- risk protocols and potential FDA registration trials. This position is integral… more
- Humana (Columbia, SC)
- …Actuarial + Certified Internal Auditor , CPA or CPC strongly preferred + Risk Adjustment knowledge + Experience with PowerBI for advanced data visualization ... first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk … more
- CVS Health (Harrisburg, PA)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with… 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 ... feedback. + Support new hires released to the production team by being their auditor -buddy. + Conducts one on one with coders focused on quality improvement. +… 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 (San Francisco, CA)
- …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
- New York State Civil Service (Albany, NY)
- …desk-based and onsite exams, horizontal thematic reviews) work of assigned higher- risk Banking and Insurance chartered institutions and other DFS-regulated entities, ... developments in cybersecurity, blockchain, and other emerging technologies;* Conducts risk -based assessments of Licensees, including evaluations of cybersecurity and… 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
- RELX INC (Atlanta, GA)
- …of our GRC team? About the role: We are seeking an experienced Governance, Risk , and Compliance (GRC) Analyst to lead the development and implementation of our ... successful candidate will have a deep understanding of cybersecurity frameworks, risk management, and compliance standards, and will work collaboratively with… more
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