- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... clinical chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other… more
- Datavant (Jefferson City, MO)
- …bold vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our ... through the process if they agree the coder's initial coding was correct. + Answers coding questions...titles (eg, Software Engineer) rather than complex ones (eg, Senior Software Engineer). The range posted is for a… more
- Centene Corporation (Jefferson City, MO)
- …+ 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding required + Medicare experience required + Demonstrated ... from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the… more
- CenterWell (Jefferson City, MO)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- CenterWell (Jefferson City, MO)
- …in healthcare **Preferred Qualifications** + Bachelor's Degree + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role ... ICD-10-CM, CPT, and HCPCS standards. This position utilizes GenAI and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory… more
- CVS Health (Jefferson City, MO)
- …process consulting, financial strategic analysis. + Understanding of value-based care, including risk adjustment methodologies (eg, HCC coding ), quality ... for performance reviews + Translate complex data into clear, actionable insights for senior leadership. + Support ad hoc analysis and presentations as needed. +… more