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Risk Adjustment Coding Analyst

Company: Health Net, Inc.
Location: Little Rock
Posted on: December 4, 2019

Job Description:

Description: Position Purpose: Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks. * Validate provider, vendor, and internal diagnosis coding for accuracy by reviewing and analyzing samples of coding and claims extract compared to actual medical records * Review and identify trends in coding discrepancies and notify applicable department for potential training and education * Determine coding issues and discrepancies and make updates as necessary * Identify issues, determine impact to risk adjustment models and reports results for various products and services * Coordinate delete files with leadership from Medicaid, Medicare, and Marketplace and Encounters department

Keywords: Health Net, Inc., Little Rock , Risk Adjustment Coding Analyst, Professions , Little Rock, Arkansas

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