- Trinity Health (Columbus, OH)
- … quality while maintaining integrity in medical record reviews. **Position Purpose:** + Risk Adjustment Coding Specialist works in a team environment ... coding methodologies. This role ensures compliance with industry standards, risk adjustment guidelines, and regulatory requirements to support accurate… more
- Datavant (Columbus, OH)
- …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 (Columbus, OH)
- **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
- Datavant (Columbus, OH)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold...+ Monitor the performance of the Risk Adjustment Operations both internally and with coding … more
- Elevance Health (OH)
- …medical terminology and anatomy strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk ... quality of life through home-care and community-based services. **Title:** Medical Coding Analyst SR. Seeking Certified Medical Coders.** **Location:** Virtual: This… more
- Datavant (Columbus, OH)
- …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 (Dayton, OH)
- …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
- reveleer (OH)
- …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... every aspect of enrollment, provider outreach and data retrieval, coding , abstraction, reporting, and submissions. Leveraging proprietary technology, robust data… more
- Actalent (Cleveland, OH)
- …equipment reliability, and maintenance frequency. + Document and improve equipment risk assessments to prioritize resources with NASA and contract management. + ... needs with cost outlay. + Support NASA's CMMS technology advancements, including bar- coding , mobile operation, and machine status integration. + Utilize CMMS system… more
- Actalent (Cleveland, OH)
- …mobility and/or mobile connectivity equipment; 6. Document and improve existing equipment risk assessments so that a prioritization process can be established with ... eventually purchased; 9. Support NASA's CMMS technology advancements potentially including bar- coding of information and data, mobile operation and alerting and… more
- Evolent (Columbus, OH)
- …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