- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure data integrity, accuracy, completeness and adherence to leading practices in risk adjustment coding . * Identifies external partner opportunities, ... Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location:...* Responsible for developing and implementing risk adjustment strategies to facilitate accurate and complete coding… more
- HCA Healthcare (Campbell, CA)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you ... vary by location._** Come join our team as a Director of Quality and Risk Adjustment...network physicians + Ensure internal HCC coders meet minimum coding performance guidelines + Evaluate and oversee the development… more
- Ankura (New York, NY)
- …Risk Adjustment data collection and submission activities as well as knowledge of Risk Adjustment coding requirements preferably with a Risk ... and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial ... Impact You Will Have We are looking for a Director of Risk Adjustment and...forecasting for Medicare, ACA, and Medicaid. * Oversees diagnostic coding gap identification (suspecting), confidence modeling, and benchmarking. *… more
- Providence (Portland, OR)
- …work mostly remotely in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you ... will be the cornerstone of our strategic vision. You will oversee risk adjustment programs, spearhead provider education, and enhance engagement to support… more
- CenterWell (Jackson, MS)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... caring community and help us put health first** The Director , Medical Coding extracts clinical information from...function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible… more
- Point32Health (Canton, MA)
- …with our corporate and business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance. ... Point32Health (https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible… more
- Avera (Sioux Falls, SD)
- …and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of Quality and ... Risk Services, Manager of Risk Adjustment , Manager of Quality, Quality Coordinator...do** + Understand the rationale behind Risk Adjustment Work with physicians, clinic staff, coding ,… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Demonstrated knowledge of ICD-10-CM/PCS, CPT/HCPCS coding , MS-DRGs, APR-DRGs, APCs, and risk adjustment . Certifications / Licensure: + RHIA, RHIT, or CCS ... factors permitted by law. Responsibilities: + Provide day-to-day leadership to coding teams across inpatient, outpatient and professional services. + Partner with… more
- Humana (Helena, MT)
- …make an impact** **Required Qualifications** + 5+ years of experience in risk adjustment coding /auditing/education and provider relations/engagement + ... gained from actual experience of chronic condition documentation and coding audits, risk adjustment program...+ Cultivate effective partnerships in a matrix environment of coding educators, medical director , clinical and market… more
- Penn Medicine (Bala Cynwyd, PA)
- …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line,… more
- HCA Healthcare (Fort Lauderdale, FL)
- … coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director , Health… more
- Molina Healthcare (MI)
- …Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight ... of all chart collection for Risk Adjustment , RADV, or ...audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan… more
- Scripps Health (San Diego, CA)
- …Professional Coder) * Comprehensive understanding of*ICD, CPT, and HCPCS* coding systems,*MS-DRG/APR-DRG*methodologies, and* risk adjustment /HCC*principles. * ... *This Senior Director position is eligible to participate in the Director Incentive Plan.* *This position is in La Jolla and requires residence in San Diego… more
- BrightSpring Health Services (Louisville, KY)
- …+ Strong knowledge of coding and documentation (eg, HCC, RAF, risk adjustment ). + Demonstrated ability to lead cross-functional teams through large-scale ... maintain clinical policies, procedures, and documentation standards, including HCC and risk adjustment best practices. + Onboarding Leadership: Lead onboarding… more
- Amazon (Mountain View, CA)
- …with business teams on science-heavy problems, incubating products with high AI research risk , reducing friction and manual effort with AI tooling, and raising the ... Mathematics). - Experience in industry, consulting, government, or academic research. - Coding ability in a scripting language such as R, Python, Matlab, or… more
- University of Michigan (Ann Arbor, MI)
- …Liaisons (RQL). Understand and articulate data and analysis clinical documentation and risk adjustment coding trends. **Mission Statement** Michigan Medicine ... Documentation Specialist (CDS) is responsible for applying their knowledge of medical terminology, risk adjustment , and coding to ensure appropriate capture… 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
- Good Samaritan (Sioux Falls, SD)
- …and knowledge of accreditation and regulatory agency standards preferred. Quality, medical coding , and/or risk adjustment experience is preferred. Currently ... of the assigned area(s) of nursing. Will incorporate responsibilities related to the quality risk and risk score adjustment programs. Assist with the quality… more
Related Job Searches:
Adjustment,
Coding,
Director,
Director Coding,
Director Risk,
Director Risk Adjustment,
Risk,
Risk Adjustment