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Tidelands Health

Georgetown, South Carolina

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St Clair Health

Pittsburgh, Pennsylvania

Integris Group

Jacksonville, Florida

Shriners Children's Greenville

Greenville, South Carolina

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Samaritan Health Services

Corvallis, Oregon

SCA Health

Birmingham, Alabama

Children's Hospital Los Angeles

Los Angeles, California

Stamford Health

Stamford, Connecticut

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Tahoe Forest Health System

Truckee, California

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Atlantic Health (SP)

Morristown/NJ/USA

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CHRISTUS Health

Corpus Christi, Texas

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Baylor Scott & White Health

Dallas, Texas

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Harris Health System

Houston, Texas

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Duke University Health System

Durham, North Carolina

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Duke University Health System

Durham, North Carolina

Sparrow Health System

Lansing, Michigan

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Summit Health

Atlanta, Georgia

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Colorado Access

Aurora, Colorado

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CHRISTUS Health

New Braunfels, Texas

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CHRISTUS Health

Santa Fe, New Mexico

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Risk Adjustment Auditor I
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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