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Newport Beach, California

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Newburyport, Massachusetts

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Beaver Falls, Pennsylvania

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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.The pay range for this position is $26.27 (entry-level qualifications) - $39.41 (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience"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,


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