BSWHP Risk Adjustment Auditor I in Killeen, TX for Baylor Scott & White Health

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BSWHP Risk Adjustment Auditor I

JOB SUMMARY for BSWHP (Baylor Scott&White Health Plan)Accountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott and White Health 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 cases

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