- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …management, while maintaining the highest standards of clinical quality. 3. Risk Adjustment and HCC Coding : Collaborate with providers and coding teams to ... a plus. Skills: In-depth knowledge of Medicare Advantage regulations, risk adjustment, and HCC coding . Strong knowledge of principles and practices of managed… more
- AdventHealth (Altamonte Springs, FL)
- …to the compliance department. Provides suggestions on process improvement. Works with the audit team and coding manager to develop meaningful education ... accurate quality assurance audits while adhering to inpatient and/or outpatient coding policies, procedures, and established audit schedule; translates quality… more
- Henry Ford Health System (Grand Blanc, MI)
- …with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical record ... evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will...in medical terminology. + Proficient in ICD-10 CM, CPT, HCC and HCPCS coding . + Able to… more
- Datavant (Lincoln, NE)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
- UPMC (Pittsburgh, PA)
- …Health Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment department. This is a full time position working Monday through ... to address issues, questions and learning needs related to coding and documentation in the medical record and the...care and maximize risk adjustment revenue. + Assist Senior Manager in development of education objectives and programs. +… more
- Dignity Health (Phoenix, AZ)
- …teams within Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical Performance Department, and are responsible ... value based contracts (CMS ACO, HEDIS, NCQA, etc.) and Medicare Advantage programs ( HCC /RAF). In addition these positions also support our clinicians and their teams… more
