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Integris Group

Jacksonville, Florida

Shriners Children's Greenville

Greenville, South Carolina

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Samaritan Health Services

Corvallis, Oregon

Children's Hospital Los Angeles

Los Angeles, California

Stamford Health

Stamford, Connecticut

SCA Health

Birmingham, Alabama

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Tahoe Forest Health System

Truckee, California

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SUNY Downstate Health Sciences University

Brooklyn, New York

BETA Healthcare Group

Alamo, California

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Watertown Regional Medical Center

Watertown, Wisconsin

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AdventHealth Greater Orlando

Orlando, Florida

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Vanderbilt Health

Nashville, Tennessee

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New Orleans, Louisiana

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Kindred Hospitals

St Louis, Missouri

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CHRISTUS Health

Shreveport, Louisiana

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Kindred Hospitals

Dover, New Jersey

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Kindred Hospitals

San Leandro, California

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St. Luke's Health System

Boise, Idaho

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Kindred Hospitals

Aurora, Colorado

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BJC HealthCare

Saint Louis, Missouri

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Atlantic Health (SP)

Morristown/NJ/USA

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Risk Adjustment Auditor 1
JOB SUMMARYAccountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines of business subject to risk adjustment.ESSENTIAL FUNCTIONS OF THE ROLEConducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment MethodologyInterprets health record documentation to code and abstracts diagnoses and/or procedures for inpatient, outpatient, and clinic casesConducts focused HCC reviews on providers and clinics, tracks results and identifies trends and deficiencies for follow-upResearches complex coding HCC issues and keeps abreast of coding and compliance changes as commu


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