- Datavant (Providence, RI)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own ... the data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations,… more
- Evolent (Helena, MT)
- …ensuring every team member contributes to providing better health outcomes for the population. The Risk Adjustment Coding Manager plays a crucial role in ... , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk … more
- Datavant (Hartford, CT)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of...from your own workspace! What you will do: + Coding Team Lead is responsible for supporting the … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate risk ... adjustment strategy for the acquisition and coding of medical records. The role serves as a...to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations… more
- Centene Corporation (Tallahassee, FL)
- … risk adjustment and/or compliance. required + Previous experience in risk adjustment oversight and/or coding planning preferred + Demonstrated ... Purpose:** Manages a team responsible for supporting key elements of the Risk Adjustment Compliance program with a focus on the auditing and monitoring… more
- Ankura (Los Angeles, CA)
- …in a variety of risk adjustment related areas. Qualifications: + Certified in Risk Adjustment Coding (CRC) with at least five (5) recent years of ... Sr. Associates use their experience and knowledge related in coding , revenue cycle and clinical operations, along with their...experience in HCC/ Risk Adjustment and/or RADV Audit Methodology +… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to blue. Position Summary: This role will provide analytical support to the Risk Adjustment Operations team. We're seeking a detail-oriented, curious, and ... QC data needs throughout program cycles. + Manage data requirements for different Risk Adjustment activities such as in-home health assessments, annual CMS and… more
- Datavant (Boise, ID)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... + Monitor the performance of the Risk Adjustment Operations both internally and with coding ...work experience coder with a minimum of 5 year's coding experience in risk adjustment … more
- Datavant (Indianapolis, IN)
- …make strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the ... our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast,...CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and… more
- HCA Healthcare (Nashville, TN)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
- HCA Healthcare (Nashville, TN)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
- Geisinger (Danville, PA)
- …Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders ... staffing, directing and controlling the activities and personnel for professional coding service initiatives. Directly manages and implements programs to ensure… more
- MedKoder (Mandeville, LA)
- … coding veteran, the company offers services including inpatient and outpatient facility coding , medical risk adjustment management, DRG coding ... About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for… more
- AdventHealth (Tampa, FL)
- …and approved coding policies and procedures. . Participates in the mortality/ risk adjustment reviews when assigned. . Assists with post-payment DRG appeals. ... Coding Quality Auditor works in collaboration with the Manager to ensure the integrity of coded data, the...coding accuracy retrospectively and concurrently as assigned by manager and/or Director. . Reviews and addresses all third… more
- University of Colorado (Aurora, CO)
- …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist** **Description** **University of Colorado Anschutz Medical...new service in collaboration with CU Medicine Client Services Manager assigned to Neurosurgery. + Collaborate on joint projects… more
- CenterWell (Tallahassee, FL)
- …make an impact** **Required Qualifications** + A minimum of three years of technical Medical Coding , focused on outpatient ( risk adjustment ) coding . + ... manipulates database. Responds to or clarifies internal requests for coding and/or documentation related information. Understands department, segment, and… more
- Amazon (Seattle, WA)
- Description We are seeking an experienced Software Development Manager to lead and grow our engineering team within the Security Risk and Compliance (SRC) ... solutions that leverage AWS technologies and Generative AI to enhance security risk management capabilities across Amazon. As the Software Development Manager ,… more
- MedKoder (Mandeville, LA)
- … coding veteran, the company offers services including inpatient and outpatient facility coding , medical risk adjustment management, DRG coding ... Description: Under the direction of the Director of Physician Coding , the Audit and Education Manager is responsible for leading and maintaining the Auditing and… more
- Cleveland Clinic (Cleveland, OH)
- …risk of mortality, MCC/CC capture, appropriate POA assignment, PSI, HAC, APC & HCC coding , risk adjustment analysis and provider queries. + Perform and/or ... coding classification assignments (ICD-10-CM/PCS/CPT/APC/OPPS) and reimbursement methodologies (eg, risk adjustment , value-based payment, MS-DRGs, APR-DRGs, POA,… more
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