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
- ...accurate ICD-10-CM/PCS coding and data quality. You will deliver education to correct documentation gaps and improve overall coding accuracy while collaborating with clients, coders, and providers in a remote home-office setting. The role emphasizes creating actionable...SuggestedRemote workHome office
$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- ...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
- ...Finance Auditor Weve been helping people get back to work and... ...operations, finance, compliance, Providers, and IT. This role is... ...independent reviews, assess risks, and provide actionable recommendations... ...actions. Adaptability - Adjusts effectively to changes in...RiskWork at office
- Florida Atlantic University is seeking an Internal Auditor/Investigator in Boca Raton, FL. The Office of Inspector General provides independent assurance, risk-based insights, and advisory support to the BOT, ACC, President, and Senior Management. The role plans and performs...RiskWork at office
$70.04k
...Internal Auditor/Investigator Florida Atlantic University is seeking... ..., and sustain value by providing the Board of Trustees (BOT),... ...Management with independent, risk-based, and objective assurance... ...Volunteer Service Day Employee Educational Scholarship Program (EESP)...RiskFull timeWork at officeMonday to FridayFlexible hours- ...Senior Field Adjuster - (Tampa)Fully Remote • Corporate Office - Boca... ...the claim.Why Windward Risk Managers:Windward Risk Managers... ...reimbursement and continuing education supportCollaborative and growth... ...future. WRM is committed to providing equal employment opportunities...RiskFull timeTemporary workCurrently hiringImmediate startRemote workVisa sponsorshipShift work
- ...Senior Internal Auditor Norfolk, VA or Deerfield Beach, FL About Titan America Titan America (NYSE: TTAM) is a leading vertically... ...and testing of key SOX control Support SOX scoping, risk assessment, and control documentaton. Coordinate with control...Risk
- ...of Health Working Title: OPS - NUTRITION EDUCATOR Pay Plan: Temp Position Number: 64950967... ...prompt payment process of special formula.Provides nutritional care, management and education... ...clients who are at high nutritional risk according to the WIC Program and other criteria...RiskHourly payTemporary workReliefWork at office
- Florida Atlantic University is seeking an Internal Auditor/Investigator for the Office of Inspector General in Boca Raton, FL. The role focuses on independent assurance, advisory services, and risk-based investigations to strengthen university controls. The incumbent will...RiskWork at office
- ...of client, Omega’s External Auditor Outpatient will perform reviews... ...and the ability to adjust focus. Position Type/Expected... ...required; up to 5% Required Education and Experience Associate’s... ...scale. The company works with providers, payers, life science companies...Full timeWork at officeRemote workHome officeMonday to FridayWeekend work
- ...Sentinel! We specialize in providing business-purpose mortgage loans... ...of Valuation & Collateral Risk, you will lead LendingOne’s valuation... ...to identify valuation adjustments, disputes, defect trends, geographic... ...training, career paths, and education reimbursement opportunities!...RiskTemporary workWork from homeFlexible hours
- ...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
$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- ...Website . Working Title: OPS - NUTRITION EDUCATOR - 64950967 Multiple positions will be... ...prompt payment process of special formula. Provides nutritional care, management and... ...pediatric clients who are at high nutritional risk according to the WIC Program and other criteria...RiskFull timeReliefWork at officeMonday to FridayEarly shift
$50k - $54k
...seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home... ...quality, and experience managing the provider query process. This role also requires... ...utilizing coding clinics for provider education and feedback is essential. This role will...RiskWork from homeMonday to FridayWeekend work- 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
$51.25 - $104.75 per hour
...confidence. About the role The Model Risk Manager will be responsible... ...management practices and providing model validation services,... ...or equivalent combination of education and experience. Graduate degree... ...range estimate has not been adjusted for the applicable geographic...RiskHourly payLocal areaRemote workWorldwide- ...enjoy building relationships and providing financial advice to your... ...through financial solutions, education, and advice. You will manage... ...focus on client experience and risk management. Job Responsibilities... ...with manager, making adjustments as needed Identify and pursue...RiskWork experience placement
$67.5k - $112.5k
...Choices Team Overview The Operational Risk and Control Assurance (ORCA) team is... ...regulations. The Company does not presently provide employer support or sponsorship for an... ...as (but not limited to) an individual's education, training, work experience, job-related skill...RiskFull timeTemporary workWork experience placementWork at officeFlexible hours2 days per week- ...Recreation Services Director provides executive leadership and strategic... ...public assets through sound risk management, regulatory... ...strategic partnerships with educational institutions, nonprofit organizations... ...to another. Occasionally adjusting or moving objects up to 10 pounds...RiskFor contractorsWork at officeImmediate startRemote work
- ...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
$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- ...seeking a Director of Execution Readiness & Mobilization within the Risk Intelligence Operations Center (RIOC). This role translates risk... ...coordinated efforts across teams and time horizons. You will provide strategic leadership for execution readiness, drive continuous...Risk
$50k - $54k
...Porter Cares, Inc. is hiring a Risk Adjustment Coder to improve coding accuracy and facilitate effective in-home health assessments. The... ...assignments, managing documentation accuracy, and supporting coding education initiatives. The position offers a competitive wage between $...Risk- About the Role BPA is seeking a Director of Credit & Risk Management to lead and continue developing the firm's Credit & Risk practice... ...credit, collateral, portfolio, and operational matters. Provide technical leadership and judgment across engagements, including...RiskFull time
- ...Advisors, Inc. in Boca Raton, FL is seeking a Director of Credit & Risk Management to lead and grow the firm’s Credit & Risk practice.... ..., and the ongoing development of the vertical. You will provide technical leadership across engagements, manage the Credit & Risk...RiskWork at office
- ...is an experienced, all-lines adjuster, with at least one year of PIP... ..., explain coverage, and provide updates on claim status. ·... ...complex claims and mitigate risk effectively. · Identify opportunities... ...situations. Required Education and Experience: · High School...RiskWork at office
- ...enjoy building relationships and providing financial advice to your... ...through financial solutions, education, and advice. You will manage... ...focus on client experience and risk management. Job Responsibilities... ...with manager, making adjustments as needed Identify and pursue...RiskWork experience placement
- ...The Risk Officer is responsible for a wide variety of supervisory, compliance, and risk... ...ExperienceBachelor’s degree required or equivalent education or experiencePrevious industry... ...trends in order to anticipate change and provide recommended comprehensive solutions and remediesEvidence...RiskLocal area
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