- BlueCross BlueShield of Tennessee (Nashville, TN)
- The Risk Adjustment Medical Record Retrieval team at BCBST is seeing a Medical Record Retrieval Specialist to join our team\. In this role, you ... records \. Preferred candidates will have experience with medical records and Electronic Medical Record system\(s\)\. You will be a great match for… more
- GAP Solutions Inc (Bethesda, MD)
- …logistics. + Gather selected information through in-person and phone-based interviews, medical record review and consultation with interdisciplinary team ... and (2) to assist patients in making optimal hospital adjustment for requisite time of the study and arrange...potential probands through telephone interviewing of parent, review of medical records , consultation with treating professionals and… more
- Zeiders Enterprises, Inc (San Diego, CA)
- …quality. + Maintain counseling case documentation in the FFSMIS Clinical Counseling Record System for all non- medical counseling assessment and counseling ... for Other Conditions That May Be a Focus of Clinical Attention and Adjustment Disorders. + Ensure referral for appropriate behavioral health follow-up of any… more
- Progress Rail Services Corp. (Albertville, AL)
- …trade compliance program, covering imports, exports, sanctions, forced-labor risk , and government reporting. Own strategy, governance, enabling processes/systems, ... supply chain, transportation, finance/tax, legal, and IT to reduce risk while improving speed-to-ship. **Req ID:** 11284BR **Company Description:** Progress… more
- ITG Brands (Greensboro, NC)
- …Check Cameras and Scanners, Bar Code Readers, Microwave head calibration, adjustment , VMware proficiency, Marking systems, Laser/Ink Jet Printers, Lot Tracking, ... and calibration of Instrumentation throughout the facility ensure audit records are always current and in compliance + Target Weightverification/StandardAdherence… 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 ... CA lines of business. Coding specialist will be responsible to review medical records and claims data to ensure external physicians are documenting correctly and… more
- Allegis Global Solutions (Hanover, MD)
- …of AllegisPay at the program level during implementation. + Proven track record in scaling technology and leveraging automation to create efficient business ... MSP and RPO customers and program teams + Appropriate risk management skills + Strong knowledge of the staffing...terms. This role is eligible for the following: + Medical , dental, & vision + 401(k)/Roth + Insurance (Basic/Supplemental… more
- Florida Atlantic University (Boca Raton, FL)
- …delivery, logistical support, and space readiness. + Maintain accurate records and documentation of building systems, maintenance history, custodial schedules, ... + Support the Facilities Budget Office in the development, monitoring, and adjustment of the operational budget, expenditures and billing rates, including preparing… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …required **Work Experience** + Minimum of 2 years of experience in reviewing / retrieving records for Risk Adjustment , and HEDIS projects required + CMS and ... tags medical records into document management system. + Perform onsite medical record review and abstract needed information to be uploaded into BCBSLA… more
- Apex Health Solutions (Houston, TX)
- …Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding ... and compliance with Risk Adjustment requirements. EDUCATION: . High School...complete understanding of their real-world application . Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring… more
- Datavant (Indianapolis, IN)
- …As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into… more
- The Cigna Group (Bloomfield, CT)
- …is responsible for day-to-day oversight of a team of Coding Analysts specializing in HHS Risk Adjustment medical record diagnostic coding and quality ... Responsibilities:** + Leads team of certified coding professionals to accurately perform Risk Adjustment medical record reviews and audits, assigning… more
- Ankura (New York, NY)
- …investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice ... Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects...with RADV Audit responses including managing the collection of medical records , overseeing the selection of … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... (RADV) audit and any other chart coding functions, by performing moderately complex medical record review and coding, ensuring compliance with all applicable… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career ... join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at...CMS RADV audits, including retrieval and coding of targeted medical records . * Design and implement QA… more
- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... oversight. Reviews medical records...complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota Career Area: Special ... Lines The Impact You Will Have The Director of Risk Adjustment is a key leader responsible...opportunities, and evaluation of in-home assessments, in office assessments, medical record retrieval and coding reviews, and… more
- Trinity Health (Columbus, OH)
- …The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure accurate and complete diagnosis coding for risk ... **What You Will Do:** + Reviews and evaluates patient medical records to determine the level of...Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices. + Conduct… more
- Avera (Sioux Falls, SD)
- …where you matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information ... Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with...The QRA Specialist will be responsible for ensuring that medical records for identified members are retrieved,… more
- Providence (Portland, OR)
- …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 value-based… more
