- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... findings of secondary reviews to respective Clinical Documentation Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI … more
- Mayo Clinic (Rochester, MN)
- …!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo ... (CRC) certification to ensure accurate capture in inpatient documentation, supporting risk adjustment and value-based care initiatives. Reviews clinical records… more
- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical documentation gaps, assesses… more
- Bluestone Physician Services (Stillwater, MN)
- …thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play ... join our team as a Part-Time Clinical Documentation Improvement ( CDI ) Specialist . The primary responsibility of...charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with… more
- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... role in facilitating long-term success of Clinical Documentation Integrity ( CDI ) by providing day-to-day oversight of the program. They...capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. .… more
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid ... Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid. **Requirements** Licensure / Certification / Registration: +… more
- Scripps Health (San Diego, CA)
- …Comprehensive understanding of*ICD, CPT, and HCPCS*coding systems,*MS-DRG/APR-DRG*methodologies, and* risk adjustment /HCC*principles. * Strong technical ... leadership and operational oversight for systemwide*Coding, Clinical Documentation Integrity ( CDI ), and Health Information Management (HIM)*, encompassing both*hospital and… more
- AdventHealth (Greenwood Village, CO)
- …assists with Clinical Documentation Integrity ( CDI ) as it relates to Risk Adjustment with documentation best practices, understands clinical suspects and ... including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. The successful… more
- CenterWell (Jackson, MS)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...to lead clinical documentation improvement efforts; manages the divisional CDI specialist . + Facilitate meetings with key… more
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