- Knox Community Hospital (Mount Vernon, OH)
- …Nursing preferred 3 years' experience in physician office setting required Experience in Risk Adjustment and quality measures ie (Hedis/Stars, eCQM's, PCMH) ... and retrospective reviews of patient records to abstract data for identified quality performance indicators. Compiles and organizes data into meaningful reports for… more
- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan,...keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment.… more
- ITG Brands (Greensboro, NC)
- Automation Controls Specialist **Location** North Carolina **City** Greensboro **Role Type** Permanent **WHO WE ARE** ITG Brands is the third-largest tobacco company ... as part of the Operational Production Team to Electricians, Engineering Specialist , and Project Engineering. Partners with senior staff for implementation, testing,… more
- Avera (Sioux Falls, SD)
- …initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of ... Quality and Risk Services, Manager of Risk Adjustment...providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates ... more than a job. You'll discover a commitment to quality care in a safe environment and a foundation...you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior coding… more
- HCA Healthcare (Campbell, CA)
- …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be ... Eligibility for benefits may vary by location._** Come join our team as a Director of Quality and Risk Adjustment . We care for our communities and employees!… more
- Apex Health Solutions (Houston, TX)
- …following is required: . Certified Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . Registered Health ... records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High School Diploma or GED required… more
- MVP Health Care (Rochester, NY)
- …or CPC-P - Certified Professional Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and CRC-Certified Risk Adjustment Coding Credential ... continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Coder** to join #TeamMVP. This...for you if you have a passion for accuracy, quality , and compliance coding. **What's in it for you:**… more
- AdventHealth (Maitland, FL)
- ** Risk Adjustment Coding Auditor AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid ... role you'll contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or outpatient… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Senior Manager, Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category Financial, Accounting, ... and preserving the stability of the global financial system.The Financial Services Specialist 4 ( Risk ) will be responsible for developing and implementing… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23) Occupational Category Financial, Accounting, ... and preserving the stability of the global financial system.The Financial Services Specialist 2 ( Risk ) will be responsible for designing and overseeing… more
- MyFlorida (Tallahassee, FL)
- RISK MANAGEMENT PROGRAM SPECIALIST - 43001345 Date: Sep 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 861533 Agency: Financial Services Working Title: RISK MANAGEMENT PROGRAM SPECIALIST - 43001345 Pay Plan:… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Financial Services, Department of Title Financial Services Specialist 4 ( Risk ), SG-27 Occupational Category Financial, Accounting, Auditing ... of Financial Services is seeking candidates for the position of Financial Services Specialist 4 ( Risk ) within the Property Bureau. Duties include, but are… more
- Amazon (Atlanta, GA)
- Description Amazon is seeking a Risk Specialist to assist with identity verification and fraud mitigation for daily freight movements flowing into and out of our ... growth area for Amazon. Amazon is looking for a Risk Specialist that has a background in...service, and/or distribution environments 3) Data management & data quality control experience with experience pulling and analyzing large… more
- UMB Bank (Kansas City, MO)
- …+ Assist manager with daily workflow assignment, monitoring productivity, training, maintaining quality metrics and resolving incidents. + Participate in quality ... not limited to account or file reconciling, prep work for processing, post adjustment entries, research and resolve or escalate operational or transactional issues +… more
- Molina Healthcare (Worcester, MA)
- …Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider ... 2 providers in the Health Plan have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to… more
- Bluestone Physician Services (Stillwater, MN)
- …thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play ... reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers and… more
- Good Samaritan (Sioux Falls, SD)
- …the assigned area(s) of nursing. Will incorporate responsibilities related to the quality risk and risk score adjustment programs. Assist with the ... experience. Experience and knowledge of accreditation and regulatory agency standards preferred. Quality , medical coding, and/or risk adjustment experience… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... serve together. Visit nchjobs.org to learn more. JOB SUMMARY The Quality Improvement Clinical Documentation Integrity Specialist (QI-CDIS) responsibilities… more
