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
- ...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... ...diagnoses, severity of illness, and risk of mortality. Compliance: Ensuring documentation...RiskHourly payFull timeTemporary workPart time
- ...Description For assigned coders and providers, review Inpatient, Outpatient or Professional... ...Provide feedback and deliver additional education to correct inaccurate coding and improve... ..., depth perception and the ability to adjust focus. Position Type/Expected Hours...SuggestedFull timeWork at officeRemote workHome officeMonday to FridayFlexible hoursWeekend 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
- ...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
- ...Management Services Pvt. Ltd. is seeking an experienced coder education specialist to review inpatient, outpatient, and professional fee... ...presentation and stakeholder communication skills to educate providers #J-18808-Ljbffr Omega Healthcare Management Services Pvt. Ltd...Suggested
- ...Premium Auditor Join Davies Risk Services as a Premium Auditor — No Experience Required! Are you a self-starter who thrives on independence,... ...potential employees or contractors. If you have been directed to provide any information through any another method other than our...RiskFor contractors
$90k - $100k
...limited to, policyholders, public adjusters, attorneys, vendors, and... ...claim. QualificationsRequired Education and Experience Must maintain... ...future. WRM is committed to providing equal employment opportunities... ...recruiters or agencies. #J-18808-Ljbffr Windward Risk ManagersRiskFull timeCurrently hiringVisa sponsorshipShift work- ...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
- ...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
$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- ...leadership. You will own key components of the IT SOX program, lead risk-based audits, and help build a more analytics-enabled audit... ...Lead planning, walkthroughs, and testing of ITGCs Drive external auditor reliance strategy Oversee deficiency evaluation and remediation...Risk
- ...walkthroughs and testing of key SOX control Support SOX scoping, risk assessment, and control documentaton. Coordinate with control... ...control deficiencies and support remediation efforts Support external auditor reliance by preparing documentation and responding to inquiries...Risk
- ...vision, depth perception and the ability to adjust focus. Position Type/Expected Hours of... ...travel required; up to 5% Required Education and Experience High school diploma, or equivalent... ...a global scale. The company works with providers, payers, life science companies, medical...Full timeContract workWork at officeRemote workHome officeMonday to FridayWeekend work
- ...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
- 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
- ...scheduling, monitoring, and adjusting based on business needs. Seeks... ...Motivates staff by setting goals, providing ongoing feedback, and... ...Procedures. ~ Safety/Risk Management : Conduct routine... ...incidents. Qualifications Education : High school diploma or...RiskWeekly payFull timeTemporary workLocal area
- ...employment laws and regulatory requirements, escalating risks where necessary. Provide support to team on complex and high‑risk ER cases. Partner... ...related laws and internal ER policies (e.g. reasonable adjustments, disability‑related adjustments). 3. Corrective Action...Risk
$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... ...disclosed range estimate has not been adjusted for the applicable geographic differential...RiskLocal areaWorldwideHome office- Windward Risk Managers is seeking a full-time Property Claims Adjuster in Boca Raton, FL. The role involves on-site inspections and travel within the assigned territory to promptly investigate routine to moderately complex residential claims. Qualifications include a Florida...RiskFull time
- Windward Risk Managers in Boca Raton, FL is seeking a full-time Property Claims Adjuster to conduct on-site inspections and investigate routine to moderately complex residential claims. Regular travel within Florida is required. The role focuses on prompt claim servicing...RiskFull time
$91.4k - $186.9k
...: Oversee and manage a team of auditors, providing guidance and support to ensure high-quality... ...tailored to clients' industry and risks; ensure compliance with regulatory requirements... ...disclosed range estimate has not been adjusted for the applicable geographic...RiskLocal areaWorldwideHome office$95.3k - $158.8k
...About the Business LexisNexis Risk Solutions is the essential... ...assigned. Requirements Education ~ Bachelor's degree in... ...location. We are committed to providing a fair and accessible hiring... ...that requires accommodation or adjustment, please let us know by...RiskFull timeWork at officeLocal area- ...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
$17 - $19 per hour
...Tuition assistance Join the fastest growing Academy of Early Education in the nation where “Happy Happens Here”! At The Learning... ...Skills: • Proven judgment to identify and address potential risks in a childcare setting. • Ensure children are safe and their...Risk- ...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
$29 - $30 per hour
...Join us as we empower students by providing impactful learning experiences! At StudentNest... ...collaborative approach , working with educators, students, and their learning... ...environment. Track student progress and adjust instruction to promote academic growth and...Hourly payPart timeImmediate startFlexible hours$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 work- ...Quality Audit, Omega Internal Auditor will perform reviews of... ...statistical purposes for reporting and education to the Coder, Client, and... ...Omega point‑of‑contact(s). Provide information regarding work progress... ...and the ability to adjust focus. Position Type/Expected...Full timeWork at officeMonday to FridayWeekend work
$77.2k - $115.8k
...great place to work for all. WWT provides products and services to... ...Security (InfoSec) Governance, Risk, and Compliance (GRC) Analyst... ...Information Systems Auditor (CISA). Similar Cybersecurity... ...accessibility accommodation(s) or adjustment during any stage of the hiring...RiskFull timeContract workPart timeRemote workFlexible hoursShift work- ...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
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