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10 Jobs in Delaware

  • BSWHP Risk Adjustment Auditor I

    Baylor Scott & White Health - Dover, Delaware
    ... records to accurately maximize risk scoring in keeping with Baylor Scott and White Health strategies and ... Risk Adjustment Auditor 2 or Manager with educator duties in the clinics on occasional based, as needed ...
  • Clinical Fraud Investigator II

    Elevance Health - Wilmington, Delaware
    ... :** Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder ... Clinical Fraud Investigator II **Location: This position will work in a hybrid model ...
  • Associate Director, Clinical Coding Education (RN)

    CenterWell - Dover, Delaware
    ... team, clinician educators. Work closely with coding team and coder education teams to loop in ... Professional Coder) AHIMA or AAPC Certification required A minimum of three years' experience in a clinic ...
  • Diagnosis Related Group Clinical Validation Auditor

    Elevance Health - Wilmington, Delaware
    ... for Elevance Health. We require all new candidates in certain patient/member-facing roles to become ... and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you ...
  • Inpatient DRG Coder

    Intermountain Health - Dover, Delaware
    ... ) codes and Diagnosis Related Groups (DRG) to ensure accurate billing data for patient populations and ... with internal patient access to acquire correct and compliant diagnosis(es) to meet Advance Beneficiary ...
  • Support Specialist, Risk Adjustment Coding

    Evolent Health - Dover, Delaware
    ... . Qualifications Required 2+ years in a Risk Adjustment HCC coding role as a Certified Risk Adjustment Coder ... Adjustment coding team. Coding for MSSP, MA and Commercial patients using the CMS HCC crosswalks, this coder ...
  • Coding Educator - East Division

    Conviva - Dover, Delaware
    ... to each assigned provider. This will be done in close collaboration with the divisional clinical ... large group provider sessions. In this role, the educator makes decisions regarding own work methods ...
  • Family Health Advocate- Remote

    Sharecare, Inc. - Dover, Delaware
    ... Therapist Aide Medical Coder Dental Assistant Experience in customer service in a healthcare ... matter where they are in their health journey – unify and manage all their health in one place. Our ...
  • Nurse Audit Lead – Carelon Payment Integrity

    Elevance Health - Wilmington, Delaware
    ... for Elevance Health. We require all new candidates in certain patient/member-facing roles to become ... week in the office). Carelon Payment Integrity is a proud member of the Elevance Health ...
  • Nurse Auditor Senior - Carelon Payment Integrity

    Elevance Health - Wilmington, Delaware
    ... for Elevance Health. We require all new candidates in certain patient/member-facing roles to become ... per week in the office). Carelon Payment Integrity is a proud member of the Elevance ...