- The Cigna Group (Bloomfield, CT)
- …/ outpatient or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal ... role will work under the direction of Provider Education Manager to reach overall operational market goals in conjunction...matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding … more
- CVS Health (Hartford, CT)
- …you will serve as a hybrid project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs and related analytics and ... home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment...project manager and subject matter expert in Risk Adjustment chart retrieval & coding… more
- CVS Health (Jackson, MS)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment (Medicare) will be responsible for leading ... drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record… more
- CVS Health (Atlanta, GA)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment (Medicare) will be responsible for leading ... drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record… more
- CVS Health (Hartford, CT)
- … Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment , the Market Manager of ... 2+ years of experience in the health care industry, Medicaid operations, risk adjustment , or medical coding and documentation preferred- Knowledge of… more
- ChenMed (Miami, FL)
- …laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical ... we need great people to join our team. The Risk Adjustment Coder works in a collaborative...+ Coding Certificate required. APPC or AHIMA coding certified preferred. + CRC (certified risk … more
- CVS Health (Tallahassee, FL)
- …standards are upheld. Preferred Qualifications + A minimum of 5 years expertise in Risk Adjustment payment models for Medicare Advantage, ACA and Medicaid. + ... personal, convenient and affordable. Position SummaryThe Purpose of the Manager , Business Consultation job is to monitor and manage...Expertise in Risk Adjustment timelines and requirements + Prefer… more
- CVS Health (Hartford, CT)
- …management, health and economic outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst will ... more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a...and writing simple-complex SQL/SAS queries, Logic, and design in coding . + 1+ year experience working with Healthcare and… more
- The Cigna Group (Baltimore, MD)
- … Risk Adjustment goals. The role will work under the direction of Risk Adjustment Manager to reach overall operational market goals in conjunction ... meet established goals. **Core Responsibilities:** + In partnership with Risk Adjustment Manager , support the...Health Information Management Technician (RHIT) + 5+ years of risk adjustment coding experience, 3+… more
- The Cigna Group (Bloomfield, CT)
- …/ outpatient or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal ... will work under the direction of Risk Adjustment & Stars Provider Education Supervisor and/or Manager...matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding … more
- Insight Global (Tampa, FL)
- …success leading a team in a production based environment HEDIS, primary care or HCC/ Risk Adjustment coding background preferred Comfortable in a hands on ... Job Description Insight Global is hiring a permanent placement position, Manager of Coding Quality, for one of our large healthcare insurance clients. The role… more
- HCA Healthcare (Tampa, FL)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... **Description** This position is incentive eligible. **Introduction** The Regional Coding Operations Manager is responsible for assisting in the development and… more
- Sutter Health (Sacramento, CA)
- … Coding Specialist OR CPC-Certified Professional Coder OR CRC-Certified Risk Adjustment Coder OR CCDS-Certified Clinical Documentation Specialist OR ... appropriate. Assists with the assessment of potential or existing risk in regulatory and/or coding practices and conducts or coordinates research as needed to… more
- UCLA Health (Los Angeles, CA)
- …clients. You will also serve as a Subject Matter Expert for Medicare Advantage risk adjustment . Salary offers are determined based on various factors including, ... provider offices + Required Certified Professional Coder (CPC-I) certification, Certified Risk Adjustment (CRC) coder AAPC certification, and Certified… more
- Trinity Health (Fresno, CA)
- …Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is… more
- HCA Healthcare (Campbell, CA)
- … and/or billing experience. . Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group ... Today! **Job Summary and Qualifications** Reporting to the Sr. Manager , Quality Improvement & Risk Management, the...is to assist and educate physician providers on proper coding of all current medical conditions to the highest… more
- CVS Health (Tallahassee, FL)
- …Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required and maintain CEU's. Preferred Qualifications + ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and… more
- The Cigna Group (Westerville, OH)
- …preferred. + Experience in key areas of healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare ... This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance...role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall… more
- CVS Health (Hartford, CT)
- …Business Consultant within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... team members and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Responsible for leading the reconciliation… more
- New York State Civil Service (New York, NY)
- …Public Service, Department of Title Data and Information Technology Project Manager ( Manager Information Services), NS-M4 Occupational Category Other ... requirements related to data access, privacy, and security. Candidates should comprehend risk mitigation and compliance and be versed in the intersection between… more