- Corewell Health (Grand Rapids, MI)
- …retrieval, and coding . + Follows the strategic direction and implements risk adjustment initiatives required to achieve the business goals and objectives. ... Job Summary As a key leader in the Risk Adjustment team, the successful candidate... adjustment areas such as, IHA, encounter submissions, risk mitigation, and chart retrieval and coding .… more
- The Cigna Group (UT)
- …/ outpatient or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal ... role will work under the direction of Provider Education Manager to reach overall operational market goals in conjunction...matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding … more
- CVS Health (Northbrook, IL)
- …Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely with cross-functional ... healthcare experience required including some combination of: - Experience in risk adjustment , medical coding , and documentation - Experience in provider… more
- CVS Health (Jackson, MS)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment (Medicare) will be responsible for leading ... drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record… more
- CVS Health (Atlanta, GA)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment (Medicare) will be responsible for leading ... drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record… more
- CVS Health (Hartford, CT)
- … Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk Adjustment , the Market Manager of ... 2+ years of experience in the health care industry, Medicaid operations, risk adjustment , or medical coding and documentation preferred- Knowledge of… more
- ChenMed (Miami, FL)
- …laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical ... we need great people to join our team. The Risk Adjustment Coder works in a collaborative...+ Coding Certificate required. APPC or AHIMA coding certified preferred. + CRC (certified risk … more
- CVS Health (Hartford, CT)
- …management, health and economic outcomes, and other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst will ... more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a...and writing simple-complex SQL/SAS queries, Logic, and design in coding . + 1+ year experience working with Healthcare and… more
- HCA Healthcare (Brentwood, TN)
- …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and ... **Description** This position is incentive eligible. **Introduction** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the… more
- Sutter Health (Sacramento, CA)
- … Coding Specialist OR CPC-Certified Professional Coder OR CRC-Certified Risk Adjustment Coder OR CCDS-Certified Clinical Documentation Specialist OR ... appropriate. Assists with the assessment of potential or existing risk in regulatory and/or coding practices and conducts or coordinates research as needed to… more
- UCLA Health (Los Angeles, CA)
- …clients. You will also serve as a Subject Matter Expert for Medicare Advantage risk adjustment . Salary offers are determined based on various factors including, ... provider offices * Required Certified Professional Coder (CPC-I) certification, Certified Risk Adjustment (CRC) coder AAPC certification, and Certified… more
- Marshfield Clinic (Marshfield, WI)
- …Guidelines, CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding . **JOB QUALIFICATIONS** ... position conducts quality assurance activities to ensure the accuracy and integrity of risk adjustment data submitted to the Centers for Medicare & Medicaid… more
- Trinity Health (Fresno, CA)
- …Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is… more
- AdventHealth (Maitland, FL)
- …provider incentive programs, and develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth Population Health Ri ... the overall structure and operations to support programs in Risk Adjustment coding , CDI review,...**:** + Minimum seven years of experience in RAF coding + 3 years' experience as a manager… more
- HCA Healthcare (Campbell, CA)
- … and/or billing experience. . Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group ... Today! **Job Summary and Qualifications** Reporting to the Sr. Manager , Quality Improvement & Risk Management, the...is to assist and educate physician providers on proper coding of all current medical conditions to the highest… more
- The Cigna Group (Denver, CO)
- …preferred. + Experience in key areas of healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare ... This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance...role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall… more
- CVS Health (Hartford, CT)
- …Business Consultant within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... team members and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Responsible for leading the reconciliation… more
- The Cigna Group (Miramar, FL)
- …Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk Adjustment , Finance, Marketing, Cross-Segment Contracting, Provider Relations, ... **Role Summary** The Provider Performance Enablement (PPE) Manager is a key member of a cross-functional,...relationships in order to drive optimal performance on Stars, risk adjustment , utilization management, and overall financial… more
- AdventHealth (Tampa, FL)
- …opportunities for coders, CDI, and physicians based on SOI/ROM and risk adjustment findings. * Functions as the coding expert on the concurrent review ... a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of...Coder Analyst IV will conduct concurrent mortality, quality, and risk adjustment review of patients in conjunction… more
- reveleer (Glendale, CA)
- …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... Senior IT Manager Glendale, CA Reveleer is a healthcare data...every aspect of enrollment, provider outreach and data retrieval, coding , abstraction, reporting, and submissions. Leveraging proprietary technology, robust… more
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