Medicare Risk Adjustment Auditor Jobs (NOW HIRING)

Director of Risk Adjustment About IKS Health For more information, visit: www.ikshealth.com IKS ... auditors). Subject Matter Expert: Expert-level understanding of the end-to-end CMS-HCC Medicare ...

The role is responsible for the strategy, execution and performance of Medicare risk adjustment reporting and analytics, infrastructure and systems to meet business objectives, partnership with ...

... auditing. * Track risk scores and work closely with Actuaries and Financial Planning & Analysis to ... Oversee Medicare DSNP Risk Adjustment strategy and execution. * Directly support key operational ...

... for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed ... risk adjustment improvement initiatives. The auditor prepares customized reports based on data ...

... for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed ... risk adjustment improvement initiatives. The auditor prepares customized reports based on data ...

... for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed ... risk adjustment improvement initiatives. The auditor prepares customized reports based on data ...

... for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed ... risk adjustment improvement initiatives. The auditor prepares customized reports based on data ...

... for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed ... risk adjustment improvement initiatives. The auditor prepares customized reports based on data ...

... for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed ... risk adjustment improvement initiatives. The auditor prepares customized reports based on data ...

Mass Advantage is a Medicare Advantage health plan, located in the heart of Worcester County ... Risk Adjustment activities. This position is responsible for the strategy, execution and ...

Mass Advantage is a Medicare Advantage health plan, located in the heart of Worcester County ... Risk Adjustment activities. This position is responsible for the strategy, execution and ...

Description Mass Advantage is a Medicare Advantage health plan, located in the heart of Worcester ... Risk Adjustment activities. This position is responsible for the strategy, execution and ...

Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV'

We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must ...

The Risk Adjustment Factor (RAF) Specialist supports Vivant's risk adjustment initiatives within the IPA's Medicare Advantage line of business. This role ensures accurate and complete documentation ...

Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness ... High School Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience ...

Develops and implements processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and guidelines of risk adjustment ...

... Medicare and Medicaid Services (CMS) regulations and guidelines of risk adjustment data. • Identifies opportunities for data mining to ensure data gaps are minimized. • Applies best practices to ...

Serve as primary liaison with HEDIS auditors and external quality vendors. * Maintain HEDIS Roadmap ... Medicare Advantage Quality, HEDIS, Stars or Risk Adjustment operations. * 3+ years of clinical ...

Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities related to risk adjustment data submitted to CMS. In this role, you will conduct ...