- Catholic Health Initiatives (Little Rock, AR)
- …the value hub. + Through Risk Management/Auditor Manager , implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN. + ... and guidelines for these new processes. + Support the Risk Auditor Manager of closely working with...Health Management experience required + Must have experience with risk adjustment coding and value… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... client care documentation for billing. + Monitors and informs manager of records that are not completed timely. Monitors,...year if hired.** + **Two-years of experience in a risk adjustment coding environment required.**… more
- Datavant (Madison, WI)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of...from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the … more
- Point32Health (Canton, MA)
- …and consultation activities supporting the complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on ... The Manager will build relationships and drive risk adjustment engagement with senior leaders at...Procurement and Compliance) to refine prospective and retrospective diagnosis coding programs. This individual will oversee team efforts to… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- Avera (Sioux Falls, SD)
- … Specialist will work closely with the Director of Quality and Risk Services, Manager of Risk Adjustment , Manager of Quality, Quality Coordinator - ... matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness...do** + Understand the rationale behind Risk Adjustment Work with physicians, clinic staff, coding ,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with...* Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or… more
- Datavant (Sacramento, CA)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... + Monitor the performance of the Risk Adjustment Operations both internally and with coding ...work experience coder with a minimum of 5 year's coding experience in risk adjustment … more
- HCA Healthcare (Fort Lauderdale, FL)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the… more
- Humana (Salt Lake City, UT)
- …practices in the risk adjustment methodology. This role reports to the Risk Adjustment Manager and will work closely with market operations, finance, ... make an impact** **Required Qualifications** + 5+ years of experience in risk adjustment coding /auditing/education and provider relations/engagement +… more
- CenterWell (Tallahassee, FL)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- Geisinger (Danville, PA)
- …Minimum 1 certification required:CPC - Certified Professional Coder AAPC CRC - Certified Risk Adjustment Coder - AAPC RHIT - Registered Health Information ... regarding how to phrase physician queries. + Assists the Coding Quality and Professional Manager with training...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of… more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC/ Risk adjustment coding . This position is remote but does require onsite ... interview process to fill personnel vacancies. + Perform System Manager tasks for specified applications in his/her absence to...and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding… more
- Elevance Health (Atlanta, GA)
- …data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** ... **JR171732 Coding Auditor Sr** CareBridge Health is a proud...project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will drive ... or a related field. + Strong understanding of Medicare Advantage programs, risk adjustment models (eg, HCC coding ), and the regulatory environment (CMS). +… more
- Henry Ford Health System (Troy, MI)
- …regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk Adjustment analysis and reimbursement guidelines. ... GENERAL SUMMARY: The Outpatient Clinical Documentation (CDI) Manager is responsible for managing, coordinating, and performing day-to-day operations for the… more
- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... work in collaboration with the clinical documentation specialists (CDS), coding professionals, providers, nursing staff and other patient care...capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. .… more
- Molina Healthcare (WA)
- …with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/ Risk , Director of ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as… more
- Amazon (Boston, MA)
- Description Employer: Amazon Web Services, Inc. Position: Technical Program Manager II Location: Boston, MA Multiple Positions Available: Coordinate and manage ... software applications, systems, platforms, services, or technologies using Object Oriented coding and design (Java, C++, Perl, HTML) throughout the complete software… more
- Amazon (Raleigh, NC)
- …AVAILABLE Employer: AMAZON WEB SERVICES, INC. Offered Position: Technical Program Manager III Job Location: Raleigh, North Carolina Job Number: AMZ9082401 Position ... software applications, systems, platforms, services, or technologies using Object Oriented coding and design (Java, C++, Perl, HTML) throughout the complete software… more