- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of 5+ years experience with increasing responsibilities in developing and executing risk coding programs.Knowledge of, and experience with, utilizing EPIC ... Excel, PowerPoint and Word). Essential Tasks and ResponsibilitiesShall develop a comprehensive risk coding accuracy program and curriculum in dyad with matrix… more
- Cross Country Search (Hartford, CT)
- …accuracy, and resolution of coding discrepancies.Collaborates with clinical leadership and coding manager to resolve DRG coding and documentation ... accurately reflects the patient's clinical course and complexity for accurate risk adjustment used in government incentive/penalty programs.Must Haves:Licensed… more
- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on ... Atrium Health is seeking a Registered Nurse (RN) Manager , Clinic for a nursing job in Charlotte,...clinical position uses clinical/nursing knowledge and understanding of national coding guidelines and standards of compliance to improve overall… more
- Corewell Health (Grand Rapids, MI)
- …retrieval, and coding . + Follows the strategic direction and implements risk adjustment initiatives required to achieve the business goals and objectives. ... Job Summary As a key leader in the Risk Adjustment team, the successful candidate... adjustment areas such as, IHA, encounter submissions, risk mitigation, and chart retrieval and coding .… more
- The Cigna Group (Mclean, VA)
- … Risk Adjustment goals. The role will work under the direction of Risk Adjustment Manager to reach overall operational market goals in conjunction ... meet established goals. **Core Responsibilities:** + In partnership with Risk Adjustment Manager , support the...Health Information Management Technician (RHIT) + 5+ years of risk adjustment coding experience, 3+… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports ... Oregon. Job Summary Responsible for the development, execution, and management of the risk adjustment data analytics programs for the Medicare Advantage and… more
- CVS Health (Northbrook, IL)
- …Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely with cross-functional ... healthcare experience required including some combination of: - Experience in risk adjustment , medical coding , and documentation - Experience in provider… more
- CVS Health (Jackson, MS)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment (Medicare) will be responsible for leading ... drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record… more
- CVS Health (Atlanta, GA)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment (Medicare) will be responsible for leading ... drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record… 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
- UCLA Health (Los Angeles, CA)
- …officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the manager of the coding team and ... do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is… more
- CVS Health (Hartford, CT)
- …management, health and economic outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst will ... more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a...and writing simple-complex SQL/SAS queries, Logic, and design in coding . + 1+ year experience working with Healthcare and… more
- Insight Global (Alpharetta, GA)
- …accurate and compliant coding practices, using CMS's HCC methodology for risk adjustment . You'll be instrumental in generating reports, supporting quality ... Job Description Insight Global is seeking a Coding Manager for a Primary Health...measures, and offering training to providers and staff on risk adjustment and quality procedures. Your guidance… more
- Sutter Health (Sacramento, CA)
- … Coding Specialist OR CPC-Certified Professional Coder OR CRC-Certified Risk Adjustment Coder OR CCDS-Certified Clinical Documentation Specialist OR ... appropriate. Assists with the assessment of potential or existing risk in regulatory and/or coding practices and conducts or coordinates research as needed to… more
- HCA Healthcare (Salt Lake City, UT)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... **Description** This position is incentive eligible. **Introduction** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the… more
- UCLA Health (Los Angeles, CA)
- …clients. You will also serve as a Subject Matter Expert for Medicare Advantage risk adjustment . Salary offers are determined based on various factors including, ... provider offices * Required Certified Professional Coder (CPC-I) certification, Certified Risk Adjustment (CRC) coder AAPC certification, and Certified… more
- Trinity Health (Mason City, IA)
- …experience. + Preferred: In addition, Certified E&M Coder (CEMC), including Certified Risk Adjustment Coder (CRC) or Certified Documentation Expert Outpatient ... physicians. + Oversights initial and ongoing medical documentation, audits, and coding educational programs to providers, management, and revenue site operations… more
- Trinity Health (Fresno, CA)
- …Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is… more
- ChenMed (Miami, FL)
- …performance improvements. + Knowledge of CMS-HCC Risk Adjustment Models , Risk Adjustment Coding and documentation Improvement . + Understand and ... Manager will be responsible for supporting the company Risk Adjustment program and ensuring that ... coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures. + Assists in… more
- AdventHealth (Maitland, FL)
- …provider incentive programs, and develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth Population Health Ri ... the overall structure and operations to support programs in Risk Adjustment coding , CDI review,...**:** + Minimum seven years of experience in RAF coding + 3 years' experience as a manager… more
