- Evolent (Helena, MT)
- …Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of ... the Risk Adjustment Coding Support team....achievement of OKRs and assigned initiatives. + Conducts monthly chart and phone audits for individual team members, providing… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and ... documentation deficiencies to providers to improve documentation for accurate risk adjustment coding . Knowledge of...has a knowledge of how to read a medical chart and assign the correct diagnosis (ICD-10-CM) codes for… more
- CDPHP (Latham, NY)
- …you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis coding ... one year of employment is required. + CRC (Certified Risk Adjustment Coder) credential preferred. + Minimum...ability to research, analyze and interpret CMS and State coding and documentation guidelines and apply to chart… more
- Datavant (Providence, RI)
- …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...in collaboration with the Retrieval Product team to streamline chart access for Retrospective Coding Products. +… more
- Highmark Health (Pittsburgh, PA)
- …+ Production Coding : Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding ... for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable...coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support… more
- Bluestone Physician Services (Stillwater, MN)
- …reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers ... support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and...and documentation best practices. + Maintain accurate records of chart reviews, coding opportunities identified, and outcomes… more
- Corewell Health (Grand Rapids, MI)
- …This position will evaluate and assess the organization's risk related to risk adjustment coding and conduct internal audits to improve compliance. ... exposure/ risk . Contributes to and approves Priority Health Risk Adjustment Coding Guidelines. +...RA leaders to assist other teams as necessary with chart retrieval and coding efforts. Assists other… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …you'll play a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external ... integrity of our healthcare data. Your Responsibilities * Ensure accuracy and compliance of risk adjustment coding , including the appropriate coding of… more
- Datavant (Augusta, ME)
- …on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent ... complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS-HCC,… more
- University of Utah Health (Murray, UT)
- …clinical, coding , and IT teams to ensure compliance, optimize risk adjustment revenue, and help drive provider engagement interventions. **Qualifications** ... (eg, SAS, Python, R, Excel). + Familiarity with ICD-10-CM coding , HCC mappings, and risk score calculations....Medicaid). + Supports the evaluation of risk adjustment interventions such as provider outreach, chart … 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 ... Risk Adjustment vendor audit processes, managing retrospective or prospective Risk Adjustment activities such as Chart Review or In-Home Risk … more
- Molina Healthcare (Albuquerque, NM)
- …coding and medical record chart review and experience with risk adjustment data validation Required Li **Required License, Certification, Association** ... **Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Risk Adjustment Analyst (RAA) will be a SME for the MassHealth ... risk adjustment model(s) and related data submission...and will develop reporting to enhance efficiency of Fallon's chart retrieval process. The RAA will support development and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to blue. Position Summary: This role will provide analytical support to the Risk Adjustment Operations team. We're seeking a detail-oriented, curious, and ... in our medical record retrieval workflow to proactively support chart retrieval, coding , and QC data needs...throughout program cycles. + Manage data requirements for different Risk Adjustment activities such as in-home health… more
- Datavant (Washington, DC)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...plus the option to earn up to $3.25 per chart based on quality and production.** We are committed… more
- Sharp HealthCare (San Diego, CA)
- …experience working as a certified coder. + 2 years' experience working as an HCC risk adjustment coding auditor. + Experience with medical billing, medical ... for clinician education on specific coding issues, HCC/ Risk Adjustment coding guidelines, and...are followed to allow for maximum reimbursement through appropriate coding and top-decile compliance.Performs chart audits, summarize… more
- CenterWell (Tallahassee, FL)
- …make an impact** **Required Qualifications** + A minimum of three years of technical Medical Coding , focused on outpatient ( risk adjustment ) coding . + ... manipulates database. Responds to or clarifies internal requests for coding and/or documentation related information. Understands department, segment, and… more
- AdventHealth (Tampa, FL)
- …and approved coding policies and procedures. . Participates in the mortality/ risk adjustment reviews when assigned. . Assists with post-payment DRG appeals. ... Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor, under general supervision of the Inpatient...of Medicare and payor specifications. . Assign DRGs on chart in accordance with all UHDDS rules, ICD-10 … more
- The Cigna Group (Bloomfield, CT)
- …and coordinate with team members and matrix partners to facilitate various aspects of coding and Risk Adjustment education with internal and external ... Job Summary: The Risk Adjustment Quality & Review Analyst...Qualifications: * Experience with medical documentation audits and medical chart reviews and proficiency with ICD-10-CM coding … more
- Insight Global (Tampa, FL)
- …Skills and Requirements Active CPC or CCS 3-5 years of HCC/ Risk Adjustment coding experience Concurrent coding ... through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs...chart types. Outpatient Including all specialties acceptable for risk adjustment . Common specialties include, but not… more