- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... integrity of key risk adjustment performance metrics through coordination of...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... integrity of key risk adjustment performance metrics through coordination of...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- CareFirst (Baltimore, MD)
- …and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an ... integration of medical codes across policies and platforms. The Senior Coding Analyst partners with medical policy...School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding, ambulatory coding and/or CRC… more