- Excellus BlueCross BlueShield (Rochester, NY)
- …* Serves as a coordinator and key business resource for the Risk Adjustment Coding Coordination Team . * Conducts reviews and audits utilizing knowledge and ... ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure… more
- CareFirst (Baltimore, MD)
- …expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Associate's ... work experience. **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)**… more
- HCA Healthcare (Campbell, CA)
- …CMS RADV audits) Schedule and participate in provider training as needed. (Eg HCC software, documentation and coding guidelines) + Recommend projects to improve ... **_Note: Eligibility for benefits may vary by location._** Come join our team as a Managed Care Quality Improvement Specialist. We care for our… more
- Hartford HealthCare (Farmington, CT)
- …team , CDI and Revenue Cycle Leadership, physician leaders, all providers, quality management team , and coding team ongoing feedback. . Create relevant ... CDI Manager/Director. . Provides CDI subject matter expert guidance to CDS team , coding , physician leadership, quality management, utilization management, all… more
- Datavant (Augusta, ME)
- …between revenue, compliance, and user experience arise. **Leadership & Culture:** + Build, lead , and coach a team of Product Managers working across different ... healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC… more
- Dignity Health (Bakersfield, CA)
- …Excel, Word). **Preferred Qualifications:** - 2-3 years of experience in risk adjustment/ HCC coding preferred - CRC, in addition to certifications listed ... Dignity Health. As a member of the Quality Management/Risk team , the Value Based Coder works with providers and...and sponsored programs. - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation… more
- Henry Ford Health System (Troy, MI)
- …medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ... Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical record documentation. EDUCATION/EXPERIENCE… more
- J&J Family of Companies (Nashville, TN)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- J&J Family of Companies (Sioux Falls, SD)
- …**Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- J&J Family of Companies (San Francisco, CA)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- J&J Family of Companies (Sacramento, CA)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- J&J Family of Companies (Seattle, WA)
- …found. Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- CareFirst (Baltimore, MD)
- …is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Bachelor's ... and determining the impact of any changes to the HCC model and supporting actuarial in the calculation risk...tracking and monitoring mechanisms for all Risk Adjustment and Coding programs. Support management in ensuring that key risk… more
- Huron Consulting Group (Van Buren, AR)
- …implement performance improvement and organizational change + Perform E&M and CPT procedure and HCC reviews + Collaborate with team members and clients to align ... + Communicate effectively with project teams and stakeholders + Lead and develop team members through training,...required + A minimum of 5 years of outpatient coding experience, including professional and facility, E&M, and procedure… more
- Dana-Farber Cancer Institute (Boston, MA)
- …of the junior statisticians within the group on projects and lead the analysis of more complex collaborative projects. **Responsibilities** **Data Analysis:** ... Dana-Farber and Dana-Farber/Harvard Cancer Center:** Independently represents the department on DF/ HCC and DFCI committees, including but not limited to Scientific… more