- The Cigna Group (Bloomfield, CT)
- ** Risk Adjustment Provider Educator ** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office ... operational market. The role will be accountable for assigned provider groups reaching risk adjustment ...act on any assigned audit educational opportunities timely and provide primary care or specialty care provider … more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by ... record before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed opportunities to address chronic… more
- Baystate Health (Springfield, MA)
- …and favorable reimbursement + HCC concepts and determines impact on Population Health Risk Adjustment reimbursement initiatives + Acts as primary resource in HCC ... Springfield, MA. **Position** + Hierarchical Condition Category Registered Nurse Educator **SCHEDULE:** + Monday - Friday + No weekends...to public speaking + Utilize multiple reports related to risk adjustment to determine focus audit or… more
- WelbeHealth (Hartford, CT)
- …education and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly...provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with… more