Sr. Fraud Analyst at Bank of America applying investigative knowledge to validate Merchant transactions. Engaging in various tasks such as reviewing client transactions and participating in customer interactions.
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Hybrid Risk Adjustment Coding Educator – Temporary
Posted 2 months ago
About the role
- Risk Adjustment Coding Educator responsible for leading coding initiatives and educating providers. Contributes to clinical documentation improvement in a health plan setting.
Responsibilities
- Acts as the clinical coding subject matter expert and lead coding resource across the organization
- Acts as a resource and provides education to providers on clinical coding standards
- Coordinates and leads the Alliance Coding Workgroup
Requirements
- Strong background in clinical coding and documentation education with current certification as a Registered Health Information Administrator (RHIA) and Certified Coding Specialist (CCS)
- Demonstrated experience in supporting the development and implementation of clinical documentation improvement (CDI) programs
- Excellent communication skills with the ability to clearly explain complex regulatory or clinical coding concepts to diverse audiences
- Meticulous attention to detail with a strong foundation in auditing practices
- Experience leading cross functional workgroups
- Current certification as a Certified Coding Specialist (CCS) issued by the American Health Information Management Association and as a Certified Risk Adjustment Coder (CRC) issued by the American Academy of Professional Coders
- Bachelor’s degree in Health Care, Business, Nursing, or a related field
- A minimum of eight years of experience including a minimum of three years of clinical experience and a minimum of eight years of risk adjustment coding experience which included provider education responsibilities (an Associate’s degree and an additional two years of experience may substitute for the Bachelor’s degree); or an equivalent combination of education and experience may be qualifying
Benefits
- Medical, Dental and Vision Plans
- Ample Paid Time Off
- 12 Paid Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Robust Health and Wellness Program
- Onsite EV Charging Stations
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