- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy ... Medicaid, ACA, and state-specific regulations. Remain current on changes to risk adjustment models and coding guidelines, updating protocols and educating… more
- Datavant (Jefferson City, MO)
- …bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...+ Extensive knowledge of ICD -9/10 + 2 years coding experience, required. + People Leader experience managing a… more
- BJC HealthCare (St. Louis, MO)
- …setting. Background to be successful in the role: + **Hierarchical Condition Category (HCC)** ** coding and risk adjustment ** + **Bachelors degree** + **2 ... **Preferred Qualifications** **Role Purpose** The Clinical Documentation & Quality Supervisor provides day-to-day leadership for the clinical documentation and… more
- WelbeHealth (Salt Lake City, UT)
- …and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... team culture, and mission. At the direction of the Coding Supervisor , the Coding Auditor...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work… more
- Aston Carter (Salem, OR)
- …+ Certification through CPC, CCS, AAPC, or equivalent. + Minimum of 2 years experience as a Coding Analyst or Coding Supervisor . + Over 5 years of coding ... systems and track key performance indicators (KPIs). + Identify coding and billing risk areas, conduct targeted...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process… more
- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... across the system.*__* *_Position Summary:_* The Clinical Documentation Integrity Supervisor provides a key role in facilitating long-term success...capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. .… more
- HCA Healthcare (Campbell, CA)
- …or face-to-face setting within physician practices. The CDI Specialist, Outpatient will utilize risk adjustment coding expertise to educate providers and ... TO:** + Reviews patient medical records to identify clinical documentation improvement opportunities for risk adjustment coding . + Provides coding and… more
- University of Washington (Seattle, WA)
- …Remote **POSITION HIGHLIGHTS** The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information ... Under the general supervision of the Manager of Facility Coding , and the direct supervision of the Supervisor...in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/ Risk Adjustment Factor (RAF) and/or Care Gap… more
- Ankura (VA)
- …claims processing and payment, provider contracts, market pricing, benefits administration, billing and coding , risk adjustment , etc. + Expand and build new ... in emerging healthcare topics driving the industry like predictive analytic applications, risk adjustment , and value-based care. + Develop, supervise, and… more