WellMed Optum Florida seeks a Coding Auditor / Educator to conduct coding and documentation audits ensuring compliance with CMS and state regulations. You will lead prospective and retrospective audits focusing on risk adjustment, HCC capture, and E/M accuracy, while delivering targeted education to providers and coding staff across a 1,600-employee network.
You will collaborate with medical providers, clinical leadership, revenue cycle, and compliance teams to identify trends, prepare reports,
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