- Commonwealth Care Alliance (Boston, MA)
- …regulations and policies related to documentation and coding + Knowledge of Medicare Risk Adjustment Documentation with Certified Risk Adjustment ... operational coding initiatives at Commonwealth Care Alliance (CCA). The Clinical Documentation Sr. Specialist will serve as...resource for primary care site to answer questions regarding risk adjustment , corrective CPT coding, Medicare &… more
- UPMC (Pittsburgh, PA)
- …+ Coordinate and present education of providers/practices related to risk adjustment , coding, and clinical documentation improvement. + Assess workflow ... to coding and documentation in the medical record and the various risk adjustment models of payment. The Physician Educator is responsible for education… more
- Hawaii Pacific Health (Honolulu, HI)
- …of clinical experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). ... practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation ...with risk adjustment coding or clinical documentation improvement (CDI). EOE/AA/Disabled/Vets Hawai'i Pacific… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment ... documentation , working closely with physicians, IPA coders, and risk adjustment teams associated with the health...or more years of experience in providing education to clinical and non- clinical staff, required + Understanding… more
- Blue KC (Kansas City, MO)
- …program performance. + Interpret and monitor state and federal regulatory guidance for risk adjustment , audit and documentation and coding accuracy ... **Employee discount program** **Job Description Summary:** The Director, Government Programs Risk Adjustment & Audit assumes overall leadership of the… more
- Trinity Health (Albany, NY)
- …Recognizes and reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit to develop and implement provider ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's...in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical… more
- Datavant (Lincoln, NE)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Commonwealth Care Alliance (Boston, MA)
- 011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex programs, ... gathering and transformation methodology, and will play an essential role in driving Risk Adjustment (RA) Program performance. Supervision Exercised: * No, this… more
- Highmark Health (Pittsburgh, PA)
- …Development and Management: + Provide strategic leadership and management for the Risk Adjustment Accuracy Management Department. + Develop and oversee programs ... oversee and adapt infrastructure (processes, systems, talent) to support an effective risk adjustment program as CMS/HHS/DPW evolves the models and guidance.… more
- Humana (Salt Lake City, UT)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 ... and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads...Coder** ensures coding is accurate and properly supported by clinical documentation within the health record. +… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ... and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative 2 performs varied activities...2 ensures coding is accurate and properly supported by clinical documentation within the health record. Follows… more
- AdventHealth (Maitland, FL)
- … Integrity (CDI) as it relates to Risk Adjustment with documentation best practices, understands clinical suspects and appropriate clinical ... education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. The… more
- AdventHealth (Overland Park, KS)
- … Integrity (CDI) as it relates to Risk Adjustment with documentation best practices, understands clinical suspects and appropriate clinical ... education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. The… more
- Datavant (Dover, DE)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + The… more
- Hartford HealthCare (Hartford, CT)
- …The Risk Adjustment Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support ... documentation practices among contracted providers that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. The Risk … more
- Ascension Health (Wichita, KS)
- …and enhance clinical documentation for HCC/RAF accuracy and risk adjustment alignment + Support HEDIS, quality metrics, and payer-driven performance ... speciality coders to improve CDI (billing, coding and documentation ), HCC risk adjustment , and clinical outcomes + Interpret and apply value-based care… more
- University of Michigan (Ann Arbor, MI)
- …appropriate DRG, SOI, ROM, risk , and POA assignment. + Evaluate clinical documentation , including signs, symptoms, lab results, diagnostic information, and ... Clinical Documentation Spec Apply Now **Job... Clinical Documentation Spec Apply Now **Job Summary** This key...POA, and Risk O:E, as well as risk adjustment and accurate code assignment for… more
- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** **Must have prior experience as a Clinical Documentation Specialist** **Required Qualifications:** + 1 year of ... experience as a ** Clinical Documentation Specialist** + Additional Two years'...accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. +… more
- AdventHealth (FL)
- …and manage multiple priorities at once. . Experience with Clinical Documentation Reviews, Medicare risk adjustment , Hierarchical Condition Categories, ... **PICU Clinical Documentation Integrity Contract $78.11/hr. StaffFlex...procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the… more
- Mount Sinai Health System (New York, NY)
- …Coding Professional), CIC (Certified Inpatient Coder) or CCDS Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder) strongly ... (Certified Inpatient Coder) or CCDS Certified Clinical Documentation Specialist *CRC (Certified Risk Adjustment... Clinical Documentation Specialist *CRC (Certified Risk Adjustment Coder) strongly preferred. Must obtain… more