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Compass Healthcare Consulting & Placement is conducting a search for an experienced RN Coder for a REMOTE opportunity with a Certified Home Healthcare agency located in New York, NY. Qualified candidates will have at least 3 years of CHHA Certified Home Healthcare Agency Clinical Documentation experience, have a strong knowledge of CHHA rules and guidelines and an eye for detail.
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Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) credential preferred. In-depth knowledge of risk adjustment coding methodologies, including HCC (Hierarchical Condition Category) coding.
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Minimum 5+ years' experience in back office/middle office operations, third party/procurement at an asset management firm with a solid understanding of Enterprise Risk. Preference to candidates with knowledge and experience in third party risk management, change risk management and/or operations risk management.
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The GFC Data Team is responsible for driving successful adoption of company's Data Management Policies and Financial Crimes Standard (FC standard) within GFC and ensure sustainable execution of the enterprise data strategy in support of critical business processes in Anti-Money Laundering (AML), Economic Sanctions and Financial Crimes Risk Management.
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It is the parent company of a number of the world's leading risk experts and specialty consultants, including Marsh, the insurance broker and risk advisor; Guy Carpenter, the risk and reinsurance specialist; Mercer, the provider of HR and related financial advice and services; and Oliver Wyman, the management consultancy.
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Description The Neonatal Nurse Practitioner work under supervision of an attending neonatologist and following established protocols, manages care for high risk newborns and their families in emergency and non-emergency situations.
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Support coding processes like risk adjustment and HCC by engaging in organizational processes, providing useful feedback and engaging teams to adopt. Actively support integration of, and ensure uptake and maintenance of clinical programs (clinical pathways/guidelines, support services (coaching, behavioral health, nutrition, RN triage etc), and operational processes requiring staff buy in (huddles, pre-visit prep, use of standing orders.
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A risk professional within the Governance and Controls Office (GCO), responsible for the execution and support of various risk programs including but not limited to third party risk management, model risk management, internal loss events, and external loss events.
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Knowledge of the Healthcare industry including physician practices, market access, insurance, managed care, organized delivery systems, STARs/HEDIS, Value based care and risk adjustment models.
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The organization is additionally responsible for supporting the governance activities to identify, assess, control, and manage cyber risk for services being contemplated for externalization by the Capital One organization.
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The tools of our trade are environmental site and indoor air quality assessments, risk characterizations, remediation technologies, emergency response services, occupational health and safety services, loss control surveys, risk management consulting, safety services, and litigation/expert witness support.
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The role will assist Zaxbys business units to mitigate risk while simultaneously supporting the growth of the business. Partner with the Director of Risk Management to monitor and mitigate emerging risks.
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Develop, implement and monitor a strategic and comprehensive enterprise information security roadmap and IT risk management program. Allocate financial resources, coordinate investigative and data recovery efforts, carry out risk assessments and audits, and ensure compliance with applicable regulations and laws.
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Works with Third Party Risk Management team to ensure completion of technology and information security due diligence tasks. Participate and contribute to technology project initiatives relating to technology, cybersecurity, and enterprise risk management.
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risk adjustment coder jobs in Atlanta, GA
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