- Centene Corporation (Jefferson City, MO)
- …2 oversight of Risk Adjustment activities, to include identifying compliance risks, auditing coding practices, adherence to CMS guidelines and supports ... compliance coding practices. + Implement CMS risk adjustment guidelines to support accurate ...risk adjustment guidelines to support accurate coding and compliance with regulatory standards. +… more
- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality...reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,… more
- Datavant (Jefferson City, MO)
- …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...+ Reduction in time taken to create and operationalise coding projects + Maintenance of compliance with… more
- Datavant (Jefferson City, MO)
- … Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...resource and subject matter expert to staff. + Ensure compliance with HIPAA regulations and requirements. + Completes all… more
- Centene Corporation (Jefferson City, MO)
- …years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding required + Medicare experience required + Demonstrated ... remote from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on… more
- Blue KC (Kansas City, MO)
- …Blue KC Risk Adjustment (RA) programs for Commercial (ACA). Manages Risk Adjustment coding , auditing and retrieval operations and if needed special ... within the risk adjustment programs. **Job Description** + Manage all risk adjustment coding and chart retrieval activities to support retrospective… more
- Datavant (Jefferson City, MO)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies,...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… 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...coding staff to ensure continuous skill development and compliance with coding standards. + Partner with… more
- Datavant (Jefferson City, MO)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the...+ Monitor the performance of the Risk Adjustment Operations both internally and with coding … more
- CVS Health (Jefferson City, MO)
- …or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with Microsoft ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance … more
- CenterWell (Jefferson City, MO)
- …in healthcare **Preferred Qualifications** + Bachelor's Degree + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role ... coding tools to perform efficient chart reviews, ensure compliance with regulatory guidelines, and optimize documentation for accurate reimbursement. This… 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 ... programs that support organizational initiatives. **Responsibilities** + Ensures team compliance with departmental policies, regulatory requirements and professional standards… more