- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of ... for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Datavant (Raleigh, NC)
- …looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy and ... mapping and models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid … more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to ... and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the… more
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...of Professional Coders) certification - CPC (Certified Professional Coder) or CRC (Certified Risk Coder)… more
- Datavant (Raleigh, NC)
- …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all… more
- RELX INC (Raleigh, NC)
- …and identity verification solution that leverages email intelligence to assess risk . By analyzing email addresses and associated behavioral data. Emailage provides ... real-time risk scores to help businesses detect and prevent fraud...end users.* Serving as acknowledged "go to" person on coding and technical issues.* Interfacing with other technical personnel… more
- Evolent (Raleigh, NC)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... + 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2...biostatistics, mathematics, computer science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy… more