- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding , ambulatory coding and/or CRC ... and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an… more
- CVS Health (Annapolis, MD)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... and/or auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** + AA/AS or… more