Client Coding PM: Risk Adjustment QA & Training
Datavant
Datavant is seeking a Client Coding Project Manager to oversee auditing functions for risk adjustment coding efforts. The role involves ensuring compliance and quality assurance while providing education to internal and external stakeholders. You will work in collaboration with management to implement benchmarks and support audit processes. A Bachelor’s degree or significant experience in coding is preferable along with soft skills like communication and problem-solving. Comprehensive benefits including health insurance and paid time off are offered. #J-18808-Ljbffr Datavant
$48.3k - $65.9k
...Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted... ...completion of operational tasks. Work hours: Training for the first 3 weeks will be Mon-Fri 8am- 4:30pm...TrainingRiskFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayShift work$75k - $90k
...What We’re Looking For The Client Coding Project Manager will provide... ...performing audits pertaining to risk adjustment coding efforts. They will be... ...and informal education to QA specialists, coding vendors... ...development of an effective training program regarding correct coding...TrainingRiskWork experience placementShift work- ...regular basis and review client records to evaluate... ...scoring less than 70% on its QA report. The meeting will... ...reports containing risk areas, strengths, improvements... ...a minimum quarterly training tailored to facility needs... ...– Thursday, 7 am – 5:30 pm. Minimum Requirements Bachelor...TrainingRiskTemporary workWork at officeFlexible hours
$68k - $80k
...Services & Insurance Claims Adjuster - Workers Comp This role... ...customer-facing solutions to clients who represent virtually every... ...properly documented and claims coding is correct. May process complex... ...is the world’s leading risk and claims administration partner...RiskContract workFlexible hours- ...position is responsible for training and development of... ...of existing client relationships; and participation... ...contracts, ensure risks are properly identified... ...business plans, estimate adjustments, cost control and... ...review for accuracy in coding and processing of invoices...TrainingRiskPermanent employmentFor contractorsHome office
$65k
...innovation and results for our clients and communities across... ..., administration & risk management. As an on-... ...to screen, hire, train, coach, and develop on-... ...recommend strategies and adjustments Develop yearly operating... ..., reconciliation, and coding of all vendor invoices...TrainingRiskPermanent employmentFull timeFor contractorsWork at office$70k
...innovation and results for our clients and communities across... ..., administration & risk management. As an on-... ...to screen, hire, train, coach, and develop on-... ...recommend strategies and adjustments Develop yearly operating... ..., reconciliation, and coding of all vendor invoices...TrainingRiskPermanent employmentFull timeFor contractorsWork at officeNight shiftWeekend work- ...our projects, our clients, and each other. Every... ...and Owners with SR PM/ PD guidance.... ...Payments. Accurate Cost Coding and Quantity... ...Reports. Implements QA/QC program compliance... ...to Owner to avoid risk taking on the project... ...and First Aid & CPR Training and Certification....TrainingRiskContract workFor subcontractorWork at office
- ...Contracts and Benefits - Appeals, Risk Management. Essential... ...Supervisor and makes adjustments based on findings. Remains knowledgeable... ...and departmental compliance training. Knowledgeable and compliant... .... Experience in ICD9/CPT4 coding. Preferred Qualifications...TrainingRiskPermanent employmentContract workLocal areaRelocation package
- ...our projects, our clients, and each other. Every... ...and Owners with SR PM/ PD guidance... ...Payments Accurate Cost Coding and Quantity Reporting... ...Reports Implements QA/QC program... ...to Owner to avoid risk taking on the project... ...and First Aid & CPR Training and Certification Effective...TrainingRiskContract workFor contractorsFor subcontractorWork at office
- ...Contracts and Benefits - Appeals, Risk Management are... ...appropriateness of reviews and makes adjustments based on findings. Remains knowledgeable... ...and departmental compliance training. Knowledgeable and compliant... ...(Kaiser Permanentes Code of Conduct) by maintaining the...TrainingRiskContract workWork at officeLocal areaImmediate startRelocation packageWeekend work
- ...instruction on effective client and project... ...standards are met. Trains project staff,... ..., including how to adjust schedules in coordination... ..., and proper cost coding. Coaches teams... ..., and implementing QA/QC processes. Provides... ...manages project risks for their scopes of...TrainingRiskFull timeContract workApprenticeshipFor subcontractorLocal areaRelocation
$59.3k - $80.9k
...caring community The Medical Coder / Coding Educator 2 identifies opportunities to... .... Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator... ...travel to Humana's offices for training or meetings may be required. Scheduled...TrainingRiskBi-weekly payFull timeTemporary workApprenticeshipLive inWork at officeRemote workWork from homeHome office- ...Description The Quality Assurance (QA) Architect & Manager oversees... .... Ensure all projects meet client team expectations and align... ...performance, and discipline. Develop training programs for all QA positions... ..., especially in evaluating risk, complexity, and scalability....TrainingRiskTemporary workWork experience placement
- ...instrumental in helping make our client’s Kubernetes-centric ProArchive... ...our client’s Dev Engineering, QA, and Platform Engineering... ...troubleshooting and application code review to find opportunities to... ...the rest of the team. Mentor and train junior members of the team. Design...Training
- ...URL: The Project Manager is a client-facing role at the center of... ...design, copywriting, development, QA, analytics, and client... ...launch → analysis. You’ll spot risks early, unblock teams, and make... ...opportunities . We invest heavily in training and promote almost exclusively...TrainingRisk
$72k - $78k
...Service Delivery - Quality & Training leads oversight of quality and... ...Design and lead a centralized QA strategy across all ROI operations... ...aligned to SOPs and client requirements Ensure consistent... ...release, targeted audits) based on risk level and request type Ensure...TrainingRiskLocal area- ...supporting physicians seeks a Healthcare Practice Transformation Specialist in Atlanta, GA. This full-time role involves EHR training, risk adjustment coding, and billing support. Applicants should hold a Certified Professional Coder certification and possess at least 2 years...TrainingRiskFull timeLocal area
- ...100% Begins listing quality risks and developing mitigation plans... ...results to appropriate design and QA team members Finalizes the... ...base Performs Quality training as requested on specific subject... ...Adeptness in collaborating with client quality assurance teams and guiding...TrainingRiskFor subcontractorWork at office
- ...purpose. Every day, we help clients navigate complexity, support... ...required. Solid understanding of risk, insurance, and claims. Often... ...and services. Has completed training and/or certification courses... ...environment for others, including adjuster team members. Compensation...TrainingRiskFull timeLive outWork at officeLocal areaFlexible hours
- ...Creates complex and scalable coding frameworks using appropriate software... ...-usable patterns to optimize training and inference of ML models on... ...institutional and government clients under the J.P. Morgan and... ...range of areas from finance and risk to human resources and marketing...TrainingRisk
$97.4k - $129.87k
...cost team delivers solutions to clients in the areas of conceptual... ...commercial managing, schedule control, risk management, project close-out.... ...set up project systems and coding and communicate the... ...Group's policy to recruit, hire, train and promote Team Members and applicants...TrainingRiskFull timeContract workTemporary workCurrently hiringLocal area- ...Financial Services & Insurance AVP Client Services | Workers... ...company staffing standards and training recommendations. Interviews,... ...Sedgwick is the world’s leading risk and claims administration... ...claims administration, loss adjusting, benefits administration, and...TrainingRiskContract workFlexible hours
- ...geographies and service lines. QA/QC Manager - Electrical... ...system we install meets spec, code, and client expectations—every time. What... ...proactively identify quality risks and recommend corrective actions... ..., compensation, benefits, training, and apprenticeship. Titan Electric...TrainingRiskFor contractorsApprenticeshipLocal areaFlexible hours
$59.3k - $80.9k
...of our caring community The Medical Coding Auditor extracts clinical information from... ...coding experience (Preferably in a risk adjustment setting) ~ Knowledge of several reimbursement... ...travel to Humana's offices for training or meetings may be required. Scheduled...TrainingRiskFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeNight shift$115.2k - $230.4k
...identifying methodology issues and client-specific nuances, and... ...specifications into accurate, efficient code against large claims datasets,... ...of Marsh, a global leader in risk, reinsurance and capital,... ...factors such as experience, skills, training, location, certifications,...TrainingRiskMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...tools is valuable; expert-level coding is not required. How We Work... ..., GA office. Formal, hands-on training. Role Responsibilities The responsibilities... ...decisions and identify risks or gaps. Maintaining a pricing... ...Collaborating with Sales, Client Services, Product, Finance,...TrainingRiskContract workWork at officeLocal area
$65k
..., financial, administration & risk management. As an on-site leader... ...directives to screen, hire, train, coach, and develop on-site staff... ...and recommend strategies and adjustments Develop yearly operating... ...receipt, reconciliation, and coding of all vendor invoices Ensure...TrainingRiskFor contractorsWork at officeNight shiftWeekend work$27.02 per hour
...Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage... ...Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology... ...Remote Office-based Teaches / trains others regularly Occasionally Travel...TrainingRiskFor contractorsWork at officeLocal areaRemote workFlexible hours$120k - $145k
...ensure the clinical accuracy of the training data, model output labels, and clinical logic — prompts and coding rules — that shape how our AI‑powered risk adjustment products behave. This is a... ...labeling decision in writing for QA and audit, and to express coding requirements...TrainingRiskFlexible hours
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