- Atrium Health (Charlotte, NC)
- …This leaders will be a key subject matter expert for clinical documentation and risk adjustment coding within the enterprise. This position focuses on priorities ... strategy, vision, mission, and goals. Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides… more
- Atrius Health (Newton, MA)
- …substantiated before missing diagnoses are added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in ... benefit package. **Job:** **Professional Non-Clinical* **Organization:** **Administration* **Title:** *Sr Risk Adjustment Specialist * **Location:** *Newton… more
- Atrius Health (Newton, MA)
- …benefit package. **Job:** **Professional Non-Clinical* **Organization:** **Administration* **Title:** * Risk Adjustment Specialist * **Location:** *Newton ... captured in electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and implementing new initiatives for Atrius… more
- Point32Health (SC)
- …of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation ... that coding meets both established coding standards as well as CMS and ACA Risk Adjustment guidelines. The Coding Specialist II will lead efforts to evaluate… more
- Point32Health (SC)
- …of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist I reviews provider documentation of ... to verify that coding meets both established coding standards as well as CMS Risk Adjustment guidelines. The Coding Specialist I will evaluate the HCC coding… more
- The Cigna Group (Bloomfield, CT)
- …of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered ... ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and… more
- The Cigna Group (Philadelphia, PA)
- …one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified ... Must reside in Philadelphia** Job Description: Coding Education Specialist (AHIMA or AAPC certified) We value our...outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge… more
- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding ... and compliance with risk adjustment requirements. Reports to: AVP, STARs...(CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) EXPERIENCE: * Minimum of three (3) years… more
- US Tech Solutions (Newark, NJ)
- …with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code ... the following programs; including but not limited to, Commercial Risk Adjustment , Medicare Advantage Risk ...American Academy of Professional Coders or a Certified Coding Specialist , P from the American Health Information Management… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by ... medical record before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed opportunities to address… more
- Centene Corporation (Carson City, NV)
- …ongoing training and continuing education to the Medical Coding Specialists regarding risk adjustment , proper ICD-9 coding, and ICD-10 coding through written ... daily operations and work flow of the Medical Coding Specialist (MCS) Team; + The S-MCS provides guidance and...and/or exceeding QA standards. Upon approval of the Director, Risk Adjustment , the S-MCS and the M-MCA… more
- Centene Corporation (FL)
- …the most current International Classification of Diseases, Revision (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or ... a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete...required: Required Certified Professional Coder (CPC): Preferred Certified Coding Specialist (CCS): Pay Range: $22.36 - $38.07 per hour… more
- The Cigna Group (Bloomfield, CT)
- …of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered ... Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational market.… more
- The Cigna Group (Chattanooga, TN)
- …of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market.… more
- Citigroup (New York, NY)
- …by RCPG for application by Citigroup firm-wide. + Specialist in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and Derivatives Counterparty Credit ... in New York, Tampa, and London. The Basel Market risk and CCR RWA Senior Specialist will...(RWA) regulations is required with a specialization in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and… more
- Bloomberg (New York, NY)
- Risk & Valuations Sales Specialist (BVAL), Specialist Sales - Bloomberg Financial Solutions **New York, NY** Posted Mar 15, 2024 - Requisition No. 123852 ... with the same information, the entire enterprise benefits. Bloomberg's Enterprise Risk & Valuation services deliver that consistency! From our high-quality evaluated… more
- HCA Healthcare (Campbell, CA)
- …. Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group (https://careers.hcahealthcare.com/pages/physician-services) is skilled ... We care like family! Jump-start your career as a(an) HCC Risk Management Specialist today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total… more
- MyFlorida (Tallahassee, FL)
- RISK MANAGEMENT PROGRAM SPECIALIST - 43000846 Date: May 21, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For ... . Requisition No: 829668 Agency: Financial Services Working Title: RISK MANAGEMENT PROGRAM SPECIALIST - 43000846 Pay Plan:… more
- Bloomberg (New York, NY)
- Portfolio & Risk Analytics Implementation Specialist , Enterprise Services, Bloomberg Financial Solutions **New York, NY** Posted Apr 25, 2024 - Requisition No. ... full implementation of customers that will use Bloomberg's Portfolio and Risk solution, PORT. Main responsibilities will include Pre-Sales engagement, Data Ingestion… more
- AdventHealth (New Smyrna Beach, FL)
- …New Smyrna Beach **The role you'll contribute:** _The_ _Social Work Specialist intervenes with patients who have complex psychosocial needs, require assistance ... and facilitates the development of a discharge plan of care for high- risk patient populations._ _This role will receive referrals for individuals from at-… more
