- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive ... training programs focused on value-based risk adjustment coding . This role ensures that clinicians and value- based coders within the Population Health… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …see is right for you, we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of ... diagnosis coding . This position is responsible for risk adjustment coding and quality...through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. * Maintains… more
- UPMC (Pittsburgh, PA)
- …for coding (EPIC, Cerner, Clinical Connect, Document Viewer and Internal Risk Adjustment Coding Programs). + Detail-oriented individual with excellent ... training of new team members. Provides audit and coding related support to the internal Risk ...and coding related support to the internal Risk Adjustment Department. **Responsibilities:** + Utilize standard… more
- Elevance Health (Columbus, OH)
- … Risk & Recovery's Retrospective Risk Adjustment (RA) Coding Team. + Identifies training opportunities for internal and external stakeholders related ... **Medical Records Training Consultant** **Location: Indianapolis, IN** Hybrid 1: This...based on trends and results. + Provides feedback to Risk & Recovery leadership on performance improvement opportunities as… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …maintain collaborative relationships with assigned providers / provider offices to improve risk adjustment coding and documentation accuracy and ... completeness. + Conduct provider training on coding and documentation best practices... and specificity of documentation changes + 3 years Risk Adjustment Coding /Auditing and experience… more
- Datavant (Trenton, NJ)
- …looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy and ... various methods + Review client level audits and advise training content to re-educate team on coding ...Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare,… more
- Highmark Health (Pittsburgh, PA)
- …Development and Management: + Provide strategic leadership and management for the Risk Adjustment Accuracy Management Department. + Develop and oversee programs ... to ensure comprehensive and accurate diagnosis coding for risk adjusted government programs (Medicare...adapt infrastructure (processes, systems, talent) to support an effective risk adjustment program as CMS/HHS/DPW evolves the… more
- UCLA Health (Los Angeles, CA)
- …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable...+ Bachelor's degree (healthcare or relevant field) or equivalent experience/ training Note: Skills may be subject to test. UCLA… more
- HCA Healthcare (Campbell, CA)
- …complex topics to leadership, internal stakeholders and physicians + Working knowledge of risk adjustment documentation and coding requirements + Ability to ... Jump-start your career as a(an) Manager of Quality - Risk Adjustment Programs today with HCA Healthcare....achieve health plan identified goals + Ability to provide training sessions in small and large physician settings +… more
- MVP Health Care (Schenectady, NY)
- …interventions for improved coding for Medicaid members. Calculates ROIs for Risk Adjustment programs. + Maintain regulatory agency requirements for CMS and ... Professional, Risk Adjustment Analyst Headquarters Office, 625...not limited to geographic location; relevant experience, education, and training ; and the nature of and demand for the… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental ... and contractual requirements, with a focus on risk adjustment operations. The role involves varied...and maintaining of compliance policies and procedures related to risk adjustments activities, including coding accuracy, encounter… more
- Datavant (Columbus, OH)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...Must be able to use Microsoft Office with no training + Ability to be able work on multiple… more
- CenterWell (Des Moines, IA)
- …clinical documentation. + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...partnership with the training organization, develop comprehensive training program for coding staff to ensure… 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 ... operational processes. It involves acting as a liaison between coding operations and clinical staff, training and...Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three… more
- Cleveland Clinic (Cleveland, OH)
- …(HACs), diagnoses present on admission (POA), complications and comorbid conditions, and risk adjustment models - CMS, Vizient, USNWR, etc, clarification ... most respected healthcare organizations in the world. The Technical Coding Services Director for Cleveland Clinic is responsible for...and regulatory requirements as well as advanced knowledge of risk adjustment models (ie CMS, Vizient, USNWR,… more
- Banner Health (AR)
- …as well as our Providers. **Experience in E/M and Family Practice, Internal Medicine and Risk Adjustment coding is a must,** as well as current Certification ... **Department Name:** Coding Ambulatory **Work Shift:** Day **Job Category:** Revenue...passion for positive change. A passion for education and training will help you grow your career within our… more
- University of Colorado (Aurora, CO)
- …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... reviews on complex services. + Develop and conduct educational documentation and coding training for clinicians and residents. + Prepare formalized reports… more
- AdventHealth (Tampa, FL)
- …and approved coding policies and procedures. . Participates in the mortality/ risk adjustment reviews when assigned. . Assists with post-payment DRG appeals. ... Manager to ensure the integrity of coded data, the education and training of the inpatient coding staff, as well as being a resource to the entire organization… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …or CPC (Certified Professional Coder) or CPC-A or CRC (Certified Risk Adjustment Coder) Preferred: N/A **Special Skills** Required: Analytical. ... or 2 years of equivalent experience Preferred: N/A **Experience** Required: ICD-10-CM Coding knowledge. Proof of 10+ hours ICD-10-CM training or AAPC… more
- Hawaii Pacific Health (Honolulu, HI)
- …education to physicians and advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement (CDI). ... years of clinical experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS).… more