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PRS Credentialing Services

Ventura County, California

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Envision Healthcare

Nationwide

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Eisenhower Health

Rancho Mirage , California

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MaineHealth

Portland, Maine

OSF HealthCare

Peoria, Illinois

NCH Healthcare System

Naples, Florida

NCH Healthcare System

Naples, Florida

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The Greeley Company, a Chartis Group company

Mission Viejo, California

Rothman Orthopaedics

Philadelphia, Pennsylvania

Cityblock Health

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Beth Israel Lahey Health

Burlington, Massachusetts

Beth Israel Lahey Health

Burlington, Massachusetts

Beth Israel Lahey Health

Burlington, Massachusetts

PeaceHealth

Ketchikan, Alaska

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UnityPoint Health

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UnityPoint Health

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DoctorsManagement

Knoxville, Tennessee

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HonorHealth

Phoenix, Arizona

Androscoggin Valley Hospital

Berlin, New Hampshire

University of Toledo Medical Center

Toledo, Ohio

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Banner Health

Phoenix, Arizona

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Northwest Permanente, Kaiser Permanente Northwest

Portland Metro Area, Oregon

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AdventHealth

Daytona Beach, Florida

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Compliance Auditing Specialist
Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties include performing concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure the accuracy and completeness of medical record documentation and coding. Provides training, education and coaching to providers and staff regarding accurate and complete medical record documentation and coding in compliance with established documentation and coding standards. Responsibilities: A Audits medical records to assure compliance with applicable coding and documentation standards. Manages query process that is consistent with industry standards, to identif


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