- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors ... in-office requirements. You must reside in Oregon or Washington. Job Summary The Risk Adjustment Coding Manager is responsible for the development,… more
- Trinity Health (Syracuse, NY)
- … payment models. . Identify coding discrepancies and work with risk adjustment auditor/ manager to communicate deficiencies to providers. Core ... to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and is… more
- HCA Healthcare (Campbell, CA)
- …patients with purpose and integrity. We care like family! Jump-start your career as a(an) Manager of Quality - Risk Adjustment Programs today with HCA ... vary by location._** Come join our team as a(an) Manager of Quality - Risk Adjustment...leadership, internal stakeholders and physicians + Working knowledge of risk adjustment documentation and coding … more
- Premera Blue Cross (Mountlake Terrace, WA)
- … Risk Adjustment Operations? We invite you to join our team as the ** Manager of Risk Adjustment Operations** , where you will lead our core operations ... business as well as all medical record retrieval for risk adjustment and some retrieval support for...various lines of business, ensuring records are routed to coding queues and improving retrieval program efficiency. + Perform… more
- HCA Healthcare (Richmond, VA)
- …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
- HCA Healthcare (Dallas, TX)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
- CareOregon (Portland, OR)
- …Auditor Requisition # 24856 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and ... reside in Oregon or SW Washington. Job Summary The Coding Auditor performs code audits and is responsible for...or AAPC + For Finance Department only: Current Certified Risk Adjustment Coder (CRC) or completion within… more
- CenterLight Health System (NY)
- …physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random ... Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) years' experience in… more
- Catholic Health Initiatives (Chattanooga, TN)
- …and committees as appropriate. + Reports areas of risk directly to the Coding Integrity Manager /Supervisor. + Maintains a high level of competency related to ... team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition… more
- Elevance Health (Indianapolis, IN)
- …medical terminology and anatomy strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk ... and quality of life through home-care and community based services. **Medical Coding Analyst Sr.** Seeking Certified Medical Coders.** Location: **This position is… more
- CenterWell (Miami, FL)
- …skills to make an impact** **Required:** + A minimum of three years of technical Medical Coding , focused on outpatient ( risk adjustment ) coding . + RHIA, ... of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns… more
- UPMC (Pittsburgh, PA)
- …Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment , coding , and clinical documentation improvement. + ... reports to providers that summarize their performance related to coding and documentation and risk adjustment...quality of patient care and maximize risk adjustment revenue. + Assist Senior Manager in… more
- CVS Health (Columbus, OH)
- …Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) ... a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection,… more
- Datavant (Columbus, OH)
- …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... realize our bold vision for healthcare. The Customer Success Manager is part of the Datavant organization and is...between internal resources and customers in support of custom risk adjustment projects and reports on project… more
- Hartford HealthCare (Farmington, CT)
- …specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to ... *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding ...Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs… more
- Amazon (Boston, MA)
- …Employer: AMAZON DEV CENTER US, INC. Offered Position: Technical Program Manager III Job Location: Boston, Massachusetts Job Number: AMZ9082604 Position ... software applications, systems, platforms, services, or technologies using Object Oriented coding and design (Java, C++, Perl, HTML) throughout the complete software… more
- RELX INC (Boca Raton, FL)
- …enjoy resolving customer issues to achieve customer satisfaction? About This Business LexisNexis Risk Solutions is the essential partner in the assessment of risk ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Business Risk Management. You can learn… more
- Marshfield Clinic (Marshfield, WI)
- …external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the ... educational and training resource materials to assist providers in coding accuracy. The Educator develops and implements strategic action,...accuracy and integrity of risk adjustment data submitted to the Centers… more
- Actalent (Malvern, PA)
- …Title: Principal Clinical Data ManagerJob Description The Principal Clinical Data Manager provides strategic leadership and oversight of clinical data management ... submission in compliance with regulatory standards. The Principal Clinical Data Manager serves as the lead contact for data management, collaborating… more
- Vatica Health (Alpharetta, GA)
- …, healthcare billing, quality and Value Based Care measures and metrics. Risk Adjustment knowledge/experience is preferred. + Understanding of Medicare, ACD, ... The Manager of Clinical Operations leads and manages the...(MSAs) to ensure their efficiency, productivity, and effectiveness. The Manager of Clinical Operations collaborates with and reports to… more