Client Coding PM: Risk Adjustment QA & Training
Datavant
Datavant is looking for a Client Coding Project Manager based in Raleigh, North Carolina. In this role, you will oversee auditing functions concerning risk adjustment coding, ensuring compliance and educating stakeholders. The ideal candidate will possess strong expertise in risk adjustment and project management, along with exceptional communication skills. Join Datavant to help improve health data usage across the healthcare ecosystem. Benefits include comprehensive insurance and career growth opportunities. #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- Why This Role Matters The Coding Quality Assurance Auditor is part of Novant's RCS Coding team... ...abstraction ability. Quality assurance and coding risk analysis. What’s In It For You A flexible work schedule after initial training. Comprehensive benefits include medical,...TrainingRiskFlexible hours
- Humana is seeking a Clinical Coding Educator to enhance provider documentation and education through targeted sessions and comprehensive... ...travel to provider offices required. A strong knowledge of Risk Adjustment and coding guidelines is necessary, along with excellent...RiskRemote work
- Program Manager (PM) for Language and Culture Services | Language... ...on providing value to clients through tailored solutions based... ...Enterprise Service Solutions for Risk Management, Compliance, Business... ...military or government training programs. Understanding of Department...TrainingRiskFull timeContract workWork at office
- ...Monday-Friday | 8:00 AM - 5:00 PM Occasional after-hours or... ...environment with opportunities for training and professional growth in... ...cardiovascular disease management, risk factor reduction, lifestyle... ....) Familiarity with ICD-10 coding and HIPAA compliance Basic...TrainingRiskFull timeWork at officeMonday to FridayFlexible hours
$54k - $58k
...Participates in the quality assurance (QA) activities of a project which... ...of hands on automated test coding experience using Java (or... ...of education, certifications, client requirements, contract-... ...policies. All recruiting, hiring, training, and promoting for all job...TrainingContract workWork at office- ...maintaining that system. You will train and mentor employees towards... .... Ensure effectiveness of site QA training programme (new hire and... ..., including GMPs and FSMA. Risk‑based decision making and data‑... ...depth perception and ability to adjust focus. Equal Employment Opportunity...TrainingRiskContract workLocal areaShift workNight shiftDay shift
$115.4k - $192.3k
...Engineers. In addition to writing code on complex systems and... ...; and identifying risks/impacts and schedule adjustments to facilitate management decision... ...and effective manner to clients, management, and various... ...systems. • Mentor and/or train entry-level software...TrainingRiskFull timeWork at officeLocal areaImmediate startWorldwideFlexible hours- ..., institutional, and municipal clients. It connects a diverse client base... ...We are searching for a QA Lead for the Compliance Back Office... ...requirements or change requests Code Pull and review, future CI/CD implementation... ...ability to identify and report Risks and Issues Strong working...RiskWork at officeLocal areaWork from homeWorldwide
$59.3k - $80.9k
...of our caring community The Clinical Coding Educator / Coding Educator 2 identifies... .... Will report to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational... ...travel to Humana offices for training or meetings may be required. Schedule...TrainingRiskBi-weekly payFull timeTemporary workApprenticeshipLive inWork at officeRemote workWork from homeHome office$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- ...efficiently.Maintains and adjusts schedule to enhance... ...A/R trends, identifies risks, and directs corrective... ..., ensuring appropriate training, support, and process improvements... ...implemented.* Ensures coding structures (HCPCS, CPT,... ...Work: 8:00 am - 5:00 pm, Monday - Friday. #J-18...TrainingRiskWork at officeMonday to Friday
$82.2k - $157.6k
...construction teams, engineering, client representatives, and... ...proactively identify risks, resolve quality... ...compliance with applicable codes, standards, and... .... Review and validate QA/QC turnover documentation... ...combination of technical training and field experience....TrainingRiskFull time$139.4k - $230k
...role; the skills, education, training, credentials and experience of... ...solutions • Support governance and risk processes that promote safe... ...change. Able to adjust plans, priorities and strategies... ...Hands-on experience with agentic coding tools such as Claude Enterprise...TrainingRiskWork experience placementLocal area$115.4k - $192.3k
...Engineers. In addition to writing code on complex systems and... ...; and identifying risks/impacts and schedule adjustments to facilitate management decision... ...and effective manner to clients, management, and various... ...necessary. • Mentor and/or train entry-level software engineers...TrainingRiskFull timeWork at officeLocal areaImmediate startWorldwideFlexible 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 workNight shift- ...financial, administration & risk management. Duties & Responsibilities... ...recruitment, coaching, training and development. Promote a... ...and recommend approaches and adjustments. Develop yearly operating budgets... ...receipt, reconciliation, and coding of all vendor invoices...TrainingRiskPermanent employment
- ...Oversee and enforce InServ’s QA/QC policies on assigned projects... ...in accordance with client privacy requirement. Interpret... ...assist in the development of risk mitigation strategies. Collaborate... ...corrective measures. Provide training and guidance to subcontractors...TrainingRiskDaily paidContract workFor contractorsFor subcontractorWork at office
$169.4k - $279.6k
...role; the skills, education, training, credentials and experience of... ...• Help establish governance, risk, and control processes that ensure... ...change. Able to adjust plans, priorities and strategies... ...Hands-on experience with agentic coding tools such as Claude Enterprise...TrainingRiskTemporary workWork experience placementLocal area$52.8 - $70.1 per hour
...appropriate contraceptives to clients in accordance with PPSAT policies... ...Apply current CPT and ICD-10 coding principles to all medical... ...Participate in PPSAT Quality & Risk Management Program. Conduct quality... ...in the instruction and training of medical professionals and students...TrainingRiskHourly payFull timeWork at office$15.38 - $35.58 per hour
## Client Service Specialist - Commercial LinesApplylocations: Charlotte... ...with carriers not managed by Risk Placement Specialists.* Enters... ...of absence, compensation, and training.The wage range for this role... ...range estimate has not been adjusted for the applicable geographic...TrainingRiskWork at officeLocal area- ...the single point of contact for risk‑based quality management (RBQM... ..., partnering with MRL QA and acting as the link between... ...of sponsor policies, SOPs, and training materials. Provide strategic advice... ...Requirements Occasional travel to client and site locations, both...TrainingRiskFull timeContract workWork at officeWorldwide
$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$104.9k - $174.7k
...support the development and training of junior members and develop... ...understanding of the business risks associated with applying LLM... ...g., Hadoop, Spark) Strong coding skills in Python or another programming... ...requires accommodation or adjustment, please let us know by...TrainingRiskLocal area$50k - $60k
...ability to lead a team to exceed client service expectations. This... ...appealed claims.o Collaborate with coding, billing, and follow-up teams... ...develop the RCM team through training and mentorship, aligning... ...improvement, standardization, and risk mitigation for service delivery...TrainingRiskCasual workLocal area$16 - $18 per hour
...for? We are looking for a Client Service Specialist ; an energetic... ...experience and First Aid training an asset. · Understanding of... ...Schedule: ~ Monday to Friday PM and Saturday AM Work... ...in the field of Robotics and Coding in a fun environment. Our innovative...TrainingHourly payPart timeMonday to Friday$47 - $52 per hour
...are closed and project risk is mitigated. Ability... ...regularly scheduled QA/QC meetings, review logs... ...Specifications and Standard Codes and when project... ...cleaning preferred. Training and practical knowledge... ...managers, superintendents, clients, customers and the...TrainingRiskHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work$93.9k - $159.6k
...decisions. Consider potential risks that might impact solution. Express... ...and technology. Support PM and team in developing a strategic... ...producing high-quality code. Adhere to coding standards and... ...of absence, compensation and training. nCino is committed to the full...TrainingRiskLocal areaWorldwide- ..., Material Procurement, QA/QC, Right-of-Way Acquisition... ...results for our clients. About this Role At QISG... ...technical challenges, managing risk, and ensuring compliance with applicable codes, standards, and company... ...Develop and implement training strategies that elevate...TrainingRiskLocal area
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