- Datavant (Richmond, VA)
- …life 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 client data standardization, data integrations,… more
- Evolent (Phoenix, AZ)
- …ensuring every team member contributes to providing better health outcomes for the population. The Risk Adjustment Coding Manager plays a crucial role in ... , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate risk ... adjustment strategy for the acquisition and coding of medical records. The role serves as a...to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations… 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 (FL)
- …services within the existing program and vendors._ **Required Qualifications:** + _Expertise in Risk Adjustment payment models for MA, ACA and Medicaid._ + ... every day. **Position Summary** _The Purpose of the Sr. Manager , Business Consultation job is to drive prospective program..._Expertise in Risk Adjustment timelines and requirements_ + _Must… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with...* Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or… more
- East Boston Neighborhood Health Center (Revere, MA)
- …(eg, CPMA, CCS) EXPERIENCE: + 10+ years of experience in professional and outpatient coding , provider education, or risk adjustment auditing + Experience ... you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential...specialties + Extensive knowledge of cpt, revenue codes, ICD-10-CM coding and HCC/ risk adjustment methodologies… more
- Datavant (Carson City, NV)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... + Monitor the performance of the Risk Adjustment Operations both internally and with coding ...work experience coder with a minimum of 5 year's coding experience in risk adjustment … more
- HCA Healthcare (Richmond, VA)
- …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
- HCA Healthcare (Dallas, TX)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
- CenterWell (Denver, CO)
- …2 or more years of outpatient coding experience (Preferably in a risk adjustment setting) + Knowledge of various reimbursement methodologies, including ... community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of...risk adjustment and fee for service +… more
- Catholic Health Initiatives (Chattanooga, TN)
- …and committees as appropriate. + Reports areas of risk directly to the Coding Integrity Manager /Supervisor. + Maintains a high level of competency related to ... team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition… more
- CenterWell (Tallahassee, FL)
- …make an impact** **Required Qualifications** + A minimum of three years of technical Medical Coding , focused on outpatient ( risk adjustment ) coding . + ... manipulates database. Responds to or clarifies internal requests for coding and/or documentation related information. Understands department, segment, and… more
- University of Colorado (Aurora, CO)
- …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist** **Description** **University of Colorado Anschutz Medical...new service in collaboration with CU Medicine Client Services Manager assigned to Neurosurgery. + Collaborate on joint projects… more
- BP Americas, Inc. (Houston, TX)
- …the T&S Operating Standards & Control Processes. The position reports to the Power Commodity Risk Manager . **What you will do** + Develop a deep understanding of ... position you will report directly to the Power Commodity Risk Senior Manager and have the opportunity...as Power BI. + Experience with Python or other coding languages + Experience working with trading ETRM's preferably… more
- UPMC (Pittsburgh, PA)
- …Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment , coding , and clinical documentation improvement. + ... reports to providers that summarize their performance related to coding and documentation and risk adjustment...quality of patient care and maximize risk adjustment revenue. + Assist Senior Manager in… more
- University of Michigan (Ann Arbor, MI)
- …Liaisons (RQL). Understand and articulate data and analysis clinical documentation and risk adjustment coding trends. **Mission Statement** Michigan Medicine ... is responsible for applying their knowledge of medical terminology, risk adjustment , and coding to...Cycle Compliance Provider Educator will be supervised by the Manager of the Provider Education team in the Revenue… more
- Henry Ford Health System (Troy, MI)
- …regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk Adjustment analysis and reimbursement guidelines. ... GENERAL SUMMARY: The Outpatient Clinical Documentation (CDI) Manager is responsible for managing, coordinating, and performing day-to-day operations for the… more
- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... work in collaboration with the clinical documentation specialists (CDS), coding professionals, providers, nursing staff and other patient care...capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. .… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more