- Northeast Georgia Health System, Inc (Gainesville, GA)
- …enhance understanding of clinical documentation improvement goals to achieve risk adjustment strategic goals and objectivesCoordinate and deliver programs ... of 5+ years experience with increasing responsibilities in developing and executing risk coding programs.Knowledge of, and experience with, utilizing EPIC… more
- Integrated Resources, Inc (Atlanta, GA)
- …education and experience in coding and auditing. - Minimum of two years of Risk Adjustment (HCC) coding experience in a managed care environment. - ... The Coding Auditor is responsible for ensuring coding is accurate and properly supported by clinical... coding is accurate and properly supported by clinical documentation within the health record. Collaborates effectively with… more
- Atrium Health (Charlotte, NC)
- …leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on ... workplace experience and financial outcomes. This clinical position uses clinical /nursing knowledge and understanding of national coding guidelines and… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** ** Risk Adjustment Coding Specialist - CNY AIM (CIN), St. Joseph's Health - Full-time - Remote** ... Hours:** 40 **Shift:** Day Shift **Details:** **POSITION PURPOSE:** The Risk Adjustment Coding Specialist works...in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical… more
- CareFirst (Baltimore, MD)
- …Specialist. + Certified Coder (CCS or CPC)-AHIMA or AAPC. **Experience:** 3 years experience in risk adjustment coding , ambulatory coding and/or CRC ... to ensure closure of quality and risk adjustment gaps in care. Consults on proper coding.... + Fulfill various requests for patient charts and clinical information made by the health plan that are… more
- The Cigna Group (UT)
- …/ outpatient or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal ... matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding ...historical and/or real time data. + Develop relationships with clinical providers/staff and communicate coding and documentation… 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. ... adjustment areas such as, IHA, encounter submissions, risk mitigation, and chart retrieval and coding ....Master's Degree or equivalent + BSN/RN preferred or equivalent clinical experience + Five (5) to eight (8) years'… more
- ChenMed (Miami, FL)
- …to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A major focus ... related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient...our members as well as correct reimbursement. + Identifies clinical coding and documentation trends and training… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …This role will be responsible for representing Blue Cross Blue Shield MA's risk adjustment coding improvement initiatives through engagement with health ... maintain collaborative relationships with assigned providers / provider offices to improve risk adjustment coding and documentation accuracy and… more
- Somatus (Mclean, VA)
- …lead the execution strategy and implementation of the organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial accuracy ... + Partner with Finance and Analytics team to establish risk adjustment analytics such as predictive modeling for coding improvement opportunities, provider… more
- Molina Healthcare (Long Beach, CA)
- …training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk ... Condition Categories) Risk Adjustment Model + Background in supporting risk adjustment management activities and clinical informatics + Experience… more
- Martin's Point Health Care (Portland, ME)
- …a "Great Place to Work" since 2015. Position Summary The Senior Director of Risk Adjustment Operations in our Health Plan is responsible the overall development, ... refinement, maintenance, monitoring and oversight of Medicare Risk Adjustment initiatives and operations. The Senior Director is also responsible for all aspects… more
- CVS Health (Northbrook, IL)
- …of professional healthcare experience required including some combination of: - Experience in risk adjustment , medical coding , and documentation - Experience ... for an enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment initiatives across the Aetna Better Health Plans. Reporting to… more
- CVS Health (Jackson, MS)
- …The role drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical ... record collection, provider collaboration and data sharing, general coding education and related activities, as well as other...experience with one or more of the following methodologies: risk adjustment , clinical quality, or… more
- CVS Health (Atlanta, GA)
- …The role drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical ... record collection, provider collaboration and data sharing, general coding education and related activities, as well as other...experience with one or more of the following methodologies: risk adjustment , clinical quality, or… more
- CVS Health (Hartford, CT)
- …- 2+ years of experience in the health care industry, Medicaid operations, risk adjustment , or medical coding and documentation preferred- Knowledge ... team player to lead a suite of market focused Risk Adjustment Programs for a portfolio of...and direct local vendors when appropriate. + Engage with clinical team and specific clinics, medical groups, hospitals; attends… more
- MedKoder (Mandeville, LA)
- …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis… more
- CVS Health (Tallahassee, FL)
- …(Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician).) ( CRC (Certified Risk Adjustment Coder must be able to obtain within 1 year ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...in either written or verbal forms including communication with clinical or coding staff, federal regulators and… more
- The Cigna Group (Philadelphia, PA)
- …inpatient / outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence ... one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding...clinical providers and staff + Ability to communicate coding and documentation guidelines and education + Conduct provider… more
- Highmark Health (Columbus, OH)
- …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology...Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation… more
