- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy ... Medicaid, ACA, and state-specific regulations. Remain current on changes to risk adjustment models and coding guidelines, updating protocols and educating… more
- Datavant (Boise, ID)
- …bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...+ Extensive knowledge of ICD -9/10 + 2 years coding experience, required. + People Leader experience managing a… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …opportunities for performance improvement related to system-wide RSA and HCC and other risk adjustment coding initiatives. Works with HCC Coding ... electronic health record/software/information technology processes. + Works with HCC Coding Supervisor to communicate provider coding...Accuracy Healthcare Software Coding conventions CMS OIG Risk adjustment coding Many of… more
- WelbeHealth (Charleston, WV)
- …and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... team culture, and mission. At the direction of the Coding Supervisor , the Coding Auditor...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work… more
- Catholic Health Initiatives (Chattanooga, TN)
- …and committees as appropriate. + Reports areas of risk directly to the Coding Integrity Manager/ Supervisor . + Maintains a high level of competency related to ... team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Identifies opportunities for performance improvement related to system-wide HCC and other risk adjustment coding initiatives. Conducts medical record reviews ... Population Health Clinical Integration RSA initiatives, including Hierarchical Condition Categories (HCC) coding and other risk adjustment payment models.… more
- BJC HealthCare (St. Louis, MO)
- …setting. Background to be successful in the role: + **Hierarchical Condition Category (HCC)** ** coding and risk adjustment ** + **Bachelors degree** + **2 ... **Preferred Qualifications** **Role Purpose** The Clinical Documentation & Quality Supervisor provides day-to-day leadership for the clinical documentation and… 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 ... across the system.*__* *_Position Summary:_* The Clinical Documentation Integrity Supervisor provides a key role in facilitating long-term success...capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. .… more
- Apex Health Solutions (Houston, TX)
- … Supervisor : Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or ... inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment...ensure proper ICD-10 coding and compliance with risk adjustment requirements. Essential Duties and Responsibilities… more
- Mayo Clinic (Rochester, MN)
- …CDI!** 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