- Tufts Medicine (Burlington, MA)
- …coding meets both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position has extensive knowledge of overall ... to improve overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical records to determine if diagnostic… more
- CVS Health (Dover, DE)
- …convenient and affordable. Position SummaryThe Revenue Integrity (RI) Sr. Manager, Business Consultant ( Risk Adjustment ) is responsible for the management ... necessary as deemed by the department leadership Required Qualifications + 3-5 years of Risk Adjustment experience Medicare , IFP, and/or Medicaid + Core… more
- CVS Health (Columbus, OH)
- …EMR platforms. Required Qualifications - CPC AAPC or CCA AHIMA certification- 3+ years risk adjustment experience in Medicare advantage or commercial- 3+ ... capture. Identifies opportunities to promote quality. Shares best practices in risk adjustment across all sites/regions. Simultaneously manages multiple, complex… more
- Deloitte (Colorado Springs, CO)
- …experience with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1 year +experience with risk adjustment mechanisms + 1 year + experience with health care reform ... Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions...small group markets + 1 year + experience with Medicare products, including Medicare Advantage or … more
- Rush Copley Medical Center (Aurora, IL)
- …team and to build collaborative relationships. Knowledgeable of comparative databases, risk adjustment , statistical process control methods, and decision support ... organization-wide compliance with regulatory requirements established by the Centers for Medicare and Medicaid Services, Illinois Department of Public Health, The… more