Risk Adjustment Auditor Educator

Remote-NVremote$56K – $101K

Posted today · via Workday

About this role

Position Purpose: Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. Analysis of MRA data to identify patterns and development of interventions at the provider and market level. Key Details: Remote role with Southern Nevada Territory Subject matter experts for proper risk adjustment coding and CMS data validation Work in conjunction with other departments to include Provider Relations, Quality as well as the Medical Director for the state assigned to ensure compliance of CMS risk adjustments guidelines are met.…

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reqspace match rubric

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1

Skills match

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2

Level fit

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3

Domain experience

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4

Recency

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5

Location fit

This role is remote-eligible. We factor in your stated location and time-zone overlap.

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