a highly motivated and experienced Risk Adjustment Auditor and Educator to join our Coding team. This role is crucial... for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical documentation related...
Job DaVita IKC is seeking a highly motivated and experienced Medicare Risk Adjustment Auditor and Educator to join our compliance... team. This role is crucial for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical...
Risk Adjustment Auditor II Work a Hybrid schedule within Oregon, Idaho, Utah or Washington Build a career...: Qualifications: Risk Adjustment Auditor II would have an Associate degree in Healthcare or related field and three years...
. Operations Oversight: Manage all risk adjustment activities, including provider coding initiatives, chart reviews, in-home...We are seeking a VP, Risk Adjustment & Quality to take ownership of the strategic integration between revenue integrity...
of risk adjustment initiatives (HCC, RAF scoring), collaborate with coding teams and providers to ensure accurate capture... to identify coding opportunities to support HCC capture / risk adjustment coding; works with coding leadership to identify...
and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor... that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate...
as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating.... Responsibilities: A day in the life of a Physician Billing (PB) Coding Auditor and Educator at Hackensack Meridian Health includes...
, Chicago, Illinois, United States Confirm Email Submit Career Areas Growth and Expansion Coding Quality Auditor... Description The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization...
around design and delivery of all aspects of documentation and coding training and implements action plans for risk adjustment... always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description The Physician Coding Educator...
, or content developer. Familiarity with risk adjustment, specialty-specific coding, inpatient coding, or payer audits... and communication skills. Proficiency in Microsoft Office Product Suite. Preference Prior work as a coding auditor, educator...
. Strategically audits cases in regard to Denial Prevention, Quality comorbidities, Risk Adjustment related data audits, and Quality... from audits, the CDI Educator/DRG Auditor will provide system wide education and training to CDI team, Coding team, medical...
on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data...Description Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused...
coding credentials through AHIMA or AAPC (RHIT, CCS, CCS-P, CPC, CIC, etc.) The AAPC CRC (Certified Risk Adjustment Coder... of Member PHI Minimum of 7 years coding experience with at least 5 of those years in Risk Adjustment coding. Completion...
that impact severity of illness (SOI) and risk of mortality (ROM) 2+ years of ICD-10-PCS coding including but not limited... and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth...
About the role This role is on our Worldrisk line of business and assists the underwriters by screening risk... first point of call for all UAs in the region Review new submissions against prescribed criteria to determine if risk...
, coding standards, and regulatory requirements. The Manager oversees operational QA testing, examiner-level audit programs... across the entire operational claims lifecycle including claim intake, data entry, adjudication, pricing, coding accuracy...
), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist... to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas...
Risk Adjustment Business Analyst who can bridge regulatory requirements with operational execution across Medicare... risk adjustment models (e.g., Medicare Advantage) may also be preferred or beneficial. CRC certified...
Experience: Seven years of experience with coding, risk adjustment models (Medicare Advantage) and leadership. Essential... Credentials: CRC (Certified Risk Adjustment Coder), CPMA (Certified Professional Medical Auditor), CDEO (Certified...
with others regarding clinical documentation improvement (CDI) and risk adjustment (mortality) findings. Maintains knowledge of Centers... of the interdisciplinary care team member, an auditor, and an educator ensuring medical records are complete and clinical...