Risk Adjustment Auditor & Provider Educator
Baptist Health
Baptist Health in Boca Raton is seeking a Risk Coding Regional Auditor to support the Director of risk coding with chart reviews and up-coding workflows. You will educate providers on documentation and coding guidelines while coordinating projects with CIN teams to achieve favorable outcomes. The role requires strong analytical skills, 5+ years of experience, and certification requirements in risk adjustment coding. Join a faith-driven health system focused on excellence in patient care. #J-18808-Ljbffr Baptist Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Risk Adjustment Auditor & Provider Educator in Boca Raton, FL vacancy
- Essential Job Functions: Initial Audit and Education: For assigned coding staff, conduct... ...for new project / client assignment, and provide education to staff based on initial quality... ...reflects diagnoses, severity of illness, and risk of mortality. Compliance: Ensuring...Risk
- ...limited supervision theoutpatient auditor reviews medical records and... ...and the ability to adjust focus. Position Type/Expected... ...required; up to 5% Required Education and Experience Successful completion... ...scale. The company works with providers, payers, life science companies...SuggestedHourly payFull timePart timeWork at officeRemote workHome officeMonday to FridayWeekend work
- ...regulatory mandate. This role serves as a GVP Auditor within our Research & Development Quality... ...of pharmacovigilance vendors and service providers, as well as internal self-inspections of... ...(LSO/RSOs) activities).Reporting & Risk Categorization: Develop and issue comprehensive...RiskFull timeLocal area
$115k - $125k
...a highly visible team where you'll lead risk-based IT audits, partner with senior leadership... ...activities and support external auditor reliance Evaluate control deficiencies... ...Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates...RiskLocal area- The Opportunity: This role serves as a GCP Auditor within our Research & Development Quality audit program... ...Research Organizations (CROs), E-System providers, and Institutional Review Boards (IRBs/ECs). Reporting & Risk Categorization: Develop and issue comprehensive...RiskContract work
$80k - $95k
...???? Job Title: Finance Auditor Salary Range: $80,000 - $95... ...operations, finance, compliance, Providers, and IT. This role is critical... ...independent reviews, assess risks, and provide actionable recommendations... ...actions. Adaptability Adjusts effectively to changes in...RiskFull timeWork at officeMEDI TRANS LLC
Pompano Beach, FL7 days ago- ...Development and Growth Your Role: The Claims Adjuster will be responsible for managing an... ...leveraging data to identify trends, assess risk exposure, and support strategic decision-... ...mitigation. This role interacts with claimants, providers, attorneys, and other third parties...RiskFull time
COASTAL WASTE & RECYCLING INC
Boca Raton, FL17 hours ago - ...expansion into new markets.Hire, manage, and provide coaching and support to a team of sales... ...trends and competitor activities and adjust strategies accordingly.KNOWLEDGE, SKILLS... ...behavior aligned with the firms culture.EDUCATION & EXPERIENCE:7 - 10 years of experience...RiskFull timeContract workWork at office
$52k - $65k
...reasonable and appropriate based on the services provided through established guidelines.... ...remediation is performed. Communicate with the adjuster team handling the claim and their... ...based on merit, qualifications, and abilities. #J-18808-Ljbffr Windward Risk ManagersRiskFull timeVisa sponsorshipShift work- Omega Healthcare Management Services is seeking an outpatient auditor to review medical records, abstract and code diagnoses and procedures across inpatient, outpatient, ED and pro fee records. The role emphasizes accurate coding for reimbursement, research, and quality...Remote job
$25.37 - $32.22 per hour
...meaningful impact every day. The Risk coding Regional Auditor must support the Director... ...professionals working to provide pre and post visit review... ...providing risk coding education to healthcare providers to... ...: AAPC Certified Risk Adjustment Coder. AAPC Certified Professional...RiskFull time- # Senior Field Adjuster - (Brevard, Osceola, and Indian River Counties... ...the claim.**Why Windward Risk Managers:*** Windward Risk Managers... ...reimbursement and continuing education support* Collaborative and... ....** WRM is committed to providing equal employment opportunities...RiskTemporary workCurrently hiringImmediate startRemote workVisa sponsorship
- ...A solid waste disposal and recycling company in Boca Raton, FL is seeking a Claims Adjuster responsible for managing various types of claims including property damage and workers’ compensation. This role requires a Bachelor's degree and a minimum of 3 years’ experience...RiskFull time
COASTAL WASTE & RECYCLING INC
Boca Raton, FL4 days ago - ...the optimal balance between providing flexibility, sustaining successful... ...and practices, including risk management, project management... ...sites will be required.Education & ExperienceMinimum 10 years’... ...all. If you require reasonable adjustments to be made during the recruitment...RiskContract workFor contractorsFor subcontractorWork at officeLocal areaWork from home
Stantec
Deerfield Beach, FL5 days ago - ...support control documentation and remediation efforts. You will collaborate with control owners, assist with scoping, risk assessment, RACM mapping, and support external auditors. CPA/CIA or equivalent certification is preferred or in progress. #J-18808-Ljbffr Titan AmericaRisk
$91.4k - $186.9k
...Responsibilities:Oversee and manage a team of auditors, providing guidance and support to ensure high-... ...tailored to clients' industry and risks; ensure compliance with regulatory requirements... ...disclosed range estimate has not been adjusted for the applicable geographic...RiskHome officeCrowe
Boca Raton, FL4 days ago- ...walkthroughs and testing of key SOX control Support SOX scoping, risk assessment, and control documentaton. Coordinate with control... ...deficiencies and support remediation efforts Support external auditor reliance by preparing documentation and responding to inquiries...Risk
- ...their adaptation to the company, time and risk management, performance evaluations and... ...performance to identify areas for improvement and adjusts as needed. Performs project risk... ...informed of the impacts on planned changes. Provides project updates on a regular basis to...Risk
- Windward Risk Managers is seeking a proactive Field Claims Adjuster to service residential homeowners within Broward County, Florida. The role involves on-site inspections, prompt investigations, and travel within the assigned territory. The ideal candidate holds a Florida...Risk
- Windward Risk Managers is seeking a Field Property Claims Adjuster to promptly and thoroughly investigate routine to moderately complex residential claims. This is a field-based role requiring on-site inspections and regular travel within the assigned Florida territory,...Risk
- Windward Risk Managers is seeking a Field Property Claims Adjuster to handle residential claims within the assigned territory. This full-time, day-shift role involves on-site inspections and regular travel, with emphasis on prompt, thorough investigation of routine to moderately...RiskFull timeDay shift
$50k - $54k
...Risk Adjustment Coder Porter is hiring a Risk Adjustment Coder to join our team! Porter combines... ...quality, and experience managing the provider query process. This role also requires... ...utilizing coding clinics for provider education and feedback is essential. This role...RiskWork from homeMonday to FridayWeekend workPorter Cares
Pompano Beach, FL2 days ago- ...Learn It Academic Services is a national education organization whose mission is to help... ...to different students; Have an array of adjustments and resource options Use IEPs, if... ...students to and from the Title I classroom, providing a safe and positive learning...Temporary workPart timeFlexible hours
Learn It Systems
Boca Raton, FL5 days ago - Windward Risk is seeking a Senior Field Adjuster to conduct field investigations across Brevard, Osceola, and Indian River Counties. The role requires on-site inspections, timely communication, and coverage determinations based on policy language. Travel within the territory...Risk
$16 - $18 per hour
...Vision insurance Overview Join the fastest growing Academy of Early Education in the nation where “Happy Happens Here”! At The Learning... ...Caregiving Skills Proven judgment to identify and address potential risks in a childcare setting. Ensure children are safe and their...Risk- ...assessing and decreasing the risk to the company. NOTE: this role... ...fairly and with respect Provide support to team on complex and... ...ER policies (e.g. reasonable adjustments, disability-related adjustments... ...performance improvement plans Educate business leaders on...RiskRemote workRelocation package3 days per week
- SHL Medical is a world-leading provider in the design, development, and manufacturing of advanced... ..., resource allocation as well as project risk management and project team leadership.... ...to identify areas for improvement and adjust as needed Perform project risk...Risk
$90k - $150k
...team serves as the Second Line of Defense, providing independent oversight, guidance, and... ...on regulatory obligations and compliance risk mitigation. The team partners across Legal... ...as (but not limited to) an individual’s education, training, work experience, job-related...RiskFull timeTemporary workWork experience placementWork at officeFlexible hours2 days per week- ...skills, excellent attention to detail, strong risk management/problem-solving skills, and... ...analysis, assisting clients with medical providers, preparing files to submit a properly... ...Insurance companies as needed and work with the adjuster to provide required documents on files....RiskFull timeWork at office
- ...Implementation), Network Management and Provider Relations, Health Plan Operations,... ...membership growth, medical expense management, risk adjustment performance, quality outcomes, and... ...prior to hire and on an ongoing basis. Education & Training: Bachelor's degree...RiskContract workWork at officeLocal area
Kids For The Future
Boca Raton, FL3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Risk Adjustment Auditor & Provider Educator. Be the first to apply!
