The Clinical Risk Educator is responsible for developing and delivering educational content ... Conduct ongoing annual reviews of repository content to ensure alignment with CMS regulatory ...
The Clinical Risk Educator is responsible for developing and delivering educational content ... Conduct ongoing annual reviews of repository content to ensure alignment with CMS regulatory ...
The Clinical Risk Educator is responsible for developing and delivering educational content ... Conduct ongoing annual reviews of repository content to ensure alignment with CMS regulatory ...
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The Clinical Risk Educator is responsible for developing and delivering educational content ... Conduct ongoing annual reviews of repository content to ensure alignment with CMS regulatory ...
Develop and deliver quality and risk communications and training content on both a local and ... review. * Ability to travel up to 10%, on average, based on the work you do and the clients and ...
Develop and deliver quality and risk communications and training content on both a local and ... review. * Ability to travel up to 10%, on average, based on the work you do and the clients and ...
Support execution of Tax PPMD Quality Assurance Reviews (QARs). * Support efforts associated with ... Develop and deliver quality and risk training content on both a local and national level. * Support ...
Support execution of Tax PPMD Quality Assurance Reviews (QARs). * Support efforts associated with ... Develop and deliver quality and risk training content on both a local and national level. * Support ...
... content * Supporting program operations, data reporting, event execution, and first-level risk review activities for select low-risk submissions A successful candidate would possess these skills:
... content * Supporting program operations, data reporting, event execution, and first-level risk review activities for select low-risk submissions A successful candidate would possess these skills:
Experience developing or implementing trust and safety, compliance, or content moderation policies and procedures * Experience conducting risk assessments or compliance reviews for digital platforms ...
Experience developing or implementing trust and safety, compliance, or content moderation policies and procedures * Experience conducting risk assessments or compliance reviews for digital platforms ...
Experience developing or implementing trust and safety, compliance, or content moderation policies and procedures * Experience conducting risk assessments or compliance reviews for digital platforms ...
Experience developing or implementing trust and safety, compliance, or content moderation policies and procedures * Experience conducting risk assessments or compliance reviews for digital platforms ...
... Services Risk Management & Compliance Business Continuity & Disaster Recovery Security & Privacy ... Technical Writer Job Details Review, edit, and re-writing technical content from both native and ...
... Services Risk Management & Compliance Business Continuity & Disaster Recovery Security & Privacy ... Technical Writer Job Details Review, edit, and re-writing technical content from both native and ...
AI Forward Engineer
Portland, OR · On-site
... reviews, and post-launch iteration. • Own model selection: match the right model to each task ... and regulatory risk. • Build agent and RAG pipelines using frameworks such as LangChain ...
AI Forward Engineer
Portland, OR · On-site
... reviews, and post-launch iteration. • Own model selection: match the right model to each task ... and regulatory risk. • Build agent and RAG pipelines using frameworks such as LangChain ...
AI Forward Engineer
Portland, OR · Remote
... joint design reviews, and post-launch iteration. AI Systems & Model Engineering * Own model ... Ensure AI-generated content reaching members or affecting account decisions can be explained in ...
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AI Forward Engineer
Portland, OR · Remote
... joint design reviews, and post-launch iteration. AI Systems & Model Engineering * Own model ... Ensure AI-generated content reaching members or affecting account decisions can be explained in ...
This dynamic role engages in large, complex high-risk pursuits and supports a wide range of design ... Review, proofread, and edit proposals for clarity and grammar * Maintain and update databases and ...
This dynamic role engages in large, complex high-risk pursuits and supports a wide range of design ... Review, proofread, and edit proposals for clarity and grammar * Maintain and update databases and ...
Track task assignments through initial development, performance, review, and feedback ... and risk mitigation * Effective organizational skills * Effective written and verbal English ...
Track task assignments through initial development, performance, review, and feedback ... and risk mitigation * Effective organizational skills * Effective written and verbal English ...
Production Detailer
Portland, OR · On-site
Track task assignments through initial development, performance, review, and feedback ... and risk mitigation * Effective organizational skills * Effective written and verbal English ...
Production Detailer
Portland, OR · On-site
Track task assignments through initial development, performance, review, and feedback ... and risk mitigation * Effective organizational skills * Effective written and verbal English ...
Splunk Architect Lead
Portland, OR · On-site
Review major design decisions, configuration changes, content deployments, and integration ... Provide technical guidance for correlation searches, notable event rules, dashboards, reports, risk ...
Splunk Architect Lead
Portland, OR · On-site
Review major design decisions, configuration changes, content deployments, and integration ... Provide technical guidance for correlation searches, notable event rules, dashboards, reports, risk ...
Technical Account Manager
Portland, OR · On-site
Prepare and deliver quarterly business reviews, data risk assessments, and AI risk posture ... Create knowledge base content to capture new learning for customer and internal reuse. Requirements
Technical Account Manager
Portland, OR · On-site
Prepare and deliver quarterly business reviews, data risk assessments, and AI risk posture ... Create knowledge base content to capture new learning for customer and internal reuse. Requirements
Own the security policy library - ensure policies and standards are current, reviewed on a defined ... training content, and ongoing communications. * Vendor and third-party risk: Assess and manage ...
Own the security policy library - ensure policies and standards are current, reviewed on a defined ... training content, and ongoing communications. * Vendor and third-party risk: Assess and manage ...
CLM Solution Lead, Manager
Portland, OR · On-site
... risk, and help our clients gain a competitive edge. Our team helps businesses develop content ... Responsibilities - Lead pursuit teams in reviewing RFP requirements and building corresponding ...
CLM Solution Lead, Manager
Portland, OR · On-site
... risk, and help our clients gain a competitive edge. Our team helps businesses develop content ... Responsibilities - Lead pursuit teams in reviewing RFP requirements and building corresponding ...
Systems and Solutions Engineer
Hillsboro, OR · On-site
$122K - $172K/yr
Perform risk analysis, identify gaps and inefficiencies, and implement mitigation and change ... Design Review and Systems Engineering: Participate in design reviews, leverage systems engineering ...
Systems and Solutions Engineer
Hillsboro, OR · On-site
$122K - $172K/yr
Perform risk analysis, identify gaps and inefficiencies, and implement mitigation and change ... Design Review and Systems Engineering: Participate in design reviews, leverage systems engineering ...
Systems and Solutions Engineer
Hillsboro, OR · On-site
$122K - $172K/yr
Perform risk analysis, identify gaps and inefficiencies, and implement mitigation and change ... Design Review and Systems Engineering: Participate in design reviews, leverage systems engineering ...
Systems and Solutions Engineer
Hillsboro, OR · On-site
$122K - $172K/yr
Perform risk analysis, identify gaps and inefficiencies, and implement mitigation and change ... Design Review and Systems Engineering: Participate in design reviews, leverage systems engineering ...
Services Deal Desk, Sr Director 17696
Hillsboro, OR · On-site
$174K - $262K/yr
... silicon chips and software content. Join us to transform the future through continuous ... Drive margin discipline through structured review of pricing, discounting, resource assumptions ...
Services Deal Desk, Sr Director 17696
Hillsboro, OR · On-site
$174K - $262K/yr
... silicon chips and software content. Join us to transform the future through continuous ... Drive margin discipline through structured review of pricing, discounting, resource assumptions ...
Content Risk Reviewer information
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What is the difference between Content Risk Reviewer vs Content Moderator?
| Aspect | Content Risk Reviewer | Content Moderator |
|---|---|---|
| Credentials | Typically requires familiarity with content policies, risk assessment, and sometimes certifications in compliance or content review | Often requires knowledge of platform policies, communication skills, and sometimes basic certifications in social media or content management |
| Work Environment | Usually in office or remote settings, analyzing flagged content for potential risks or violations | Primarily in social media, forums, or online platforms, monitoring live or flagged content |
| Employer & Industry | Tech companies, social media platforms, online marketplaces | Social media companies, online forums, content sharing platforms |
While both roles involve reviewing online content, Content Risk Reviewers focus on assessing potential risks and compliance issues, whereas Content Moderators primarily enforce platform policies by removing or flagging inappropriate content. The roles often overlap but differ in scope and focus.
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 28 days ago
Aledade rating
8.5
Based on 5 frontline employees who took The Breakroom Quiz
45th of 428 rated business services
Job description
- The Clinical Risk Educator performs qualitative retrospective chart reviews for prioritized practices to ensure complete and accurate clinical documentation, utilizing quantitative measures to track the frequency and types of documentation errors and gaps. By analyzing review outcomes, they pinpoint specific areas for improvement in coding and clinical documentation while identifying trends and patterns that may indicate systemic issues or training needs. This role involves synthesizing concise, high-level summaries to illustrate findings, highlighting critical areas of concern, and prioritizing recommendations for improvement. Additionally, the Educator conducts educational sessions for Aledade ACO member practices and their key staff-delivered either in person or virtually-covering review findings, clinical documentation, and risk adjustment concepts.
- Serve as an individual contributor on the Risk Education team, collaborating with team members to develop and update educational materials related to clinical documentation for both internal and external audiences, inclusive of reference guides, slide decks, and toolkits. Conduct ongoing annual reviews of repository content to ensure alignment with CMS regulatory updates.
- Research, investigate and remain up to date on both clinical and coding guidelines as they relate to clinician documentation improvement.
- Serve as a resource for appropriate clinical documentation and coding practices for assigned region.
- Bachelor's degree in a healthcare related field or equivalent work experience required
- 5+ years of clinical experience (in particular nursing or international medical backgrounds)
- Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. through AAPC, ACDIS, or AHIMA
- 2+ years of clinical documentation improvement experience
- Extensive knowledge of ICD-10-CM, HCPCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required
- Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
- Comfortable presenting to large and small groups in person and in virtual format (Google Meet, Zoom, etc.)
- Ability to work both independently and collaboratively
- Flexible and able to multi-task and prioritize work load on a daily basis
- Availability for market-specific events, including the execution of 1-2 Saturday events per year in select markets
- Flexibility to work occasional evening hours, with the potential for 1-2 evenings per month on a national scale
- Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or international medical graduate (IMG)
- Background in working directly with providers in an outpatient setting
- Experience developing and delivering clinical education and training via Google Slides or Powerpoint presentations
- Ability to use insights from clinical and quality data to address opportunities for improvement
- Advanced knowledge of Medicare billing and coding regulations, along with a deep understanding of CMS compliance standards and guidelines
- General understanding of the billing requirements and reimbursement structures for FQHCs/RHCs
- Willingness to travel as needed to Aledade's headquarters or markets
- Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
- Willingness to travel as needed to Aledade's headquarters or markets (est. up to 25% across the year).
About Aledade
Sourced by ZipRecruiter
Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO), revamping the way they practice and getting them back to where they should be: quarterbacking their patients' health care! Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Bethesda, MD, US
Year founded
2014