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Duke University Health System
Durham, North Carolina
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Risk Adjustment Auditor I
JOB DESCRIPTIONThe Risk Adjustment Auditor I for Baylor Scott and White Health (BSWH) is responsible for reviewing member records to accurately maximize risk scoring in keeping with Scott and White Health Plan (SWHP) risk adjustment strategies and processes for lines of business subject to risk adjustment. He / She is responsible for conducting provider audits and creating/presenting training and education to providers on Risk Adjustment Methodology.In addition, the Risk Adjustment Auditor I for BSWH has the following responsibilities:Interpret health record documentation using knowledge of anatomy, physiology, pathological processes of disease, and medical terminology to code and abstract diagno
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