- Datavant (Juneau, AK)
- …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own ... the data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations,… more
- Datavant (Madison, WI)
- …bold vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our ... monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate risk ... adjustment strategy for the acquisition and coding of medical records. The role serves as a...to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations… 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
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in ... join our team as a Director of Quality and Risk Adjustment . We care for our communities...Adjustment and Quality programs Required + Experience at Manager or Director level Required + Experience with Quality… 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
- Humana (Helena, MT)
- …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
- 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
- CenterWell (Jackson, MS)
- … 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
- 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
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more
- Amazon (IL)
- …ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10-CM, CPT, and other relevant codes to ... accuracy of claims. This role reports into the Manager I, Revenue Cycle. As part of Amazon Health...Possesses advanced knowledge and understanding of Profee and HCC Risk Adjustment , coding and documentation… more
- Molina Healthcare (Omaha, NE)
- …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 (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
- 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
- Geisinger (Danville, PA)
- …Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders ... of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider… more
- Amazon (Boston, MA)
- Description Employer: Amazon.com Services LLC 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
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