- Fifth Third Bank, NA (Cincinnati, OH)
- …screens and phone, email, and/or Internet activity. + Fast paced environment. #LI-EG1 Adjustment Specialist II M-F 7am-3:30pm LOCATION -- Cincinnati, Ohio 45227 ... supervision of team lead and supervisor, researches and resolves complex adjustment cases and teller transaction discrepancies related to Check, ACE/MICR, Branch… more
- CVS Health (Monroeville, PA)
- …the Monroeville area, has an opportunity available for a full time Pharmacy Claims Biller/ Adjustment Specialist . As a Biller/ Adjustment Specialist , you ... will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. You will review requests for claim reconciliation and process appropriate adjustments.… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and supplemental data ... CMS filing, HHS-Risk Adjustment Data Validation (RADV) audit and any other chart...to the required work experience. **Licenses/Certifications:** + CCS-Certified Coding Specialist or CPS, CCS-P, CRC Upon Hire Required or… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC or Registered Health Information… more
- Centene Corporation (Tulsa, OK)
- …with either an RN or LPN licensure, and either HEDIS or risk adjustment experience. **Position Purpose:** Support the development and maintenance of Risk ... Adjustment related programs and reporting. Aid in working with Risk Adjustment vendors for programs within all lines of business. + Aid in the development and… more
- Centene Corporation (Phoenix, AZ)
- …home. Candidate must live in Arizona. **Position Purpose:** Utilize risk adjustment methodologies, principles, and knowledge of managed care organizations to ... Develop collaborative relationships with providers to educate and improve Risk Adjustment coding and documentation competencies. + Use knowledge of ICD10 guidelines… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and ... Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered Nurse (RN) or clinical qualifications a… more
- The Cigna Group (Houston, TX)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + ... **Risk Adjustment Provider Educator - Houston** **Must reside in...role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an… more
- Humana (Miramar, FL)
- …caring community and help us put health first** The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the ... Broward counties, FL and surrounding areas The Medical Record Retrieval Representative (Risk Adjustment Representative): + Travel up to 50% of the time in North… more
- Mount Sinai Health System (New York, NY)
- …+ Credentials in one or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified Professional ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the...experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in a healthcare… more
- City of New York (New York, NY)
- …or credits are approved. Under the general supervision of the Account Specialist Supervisor for the Account Auditing, Account Maintenance, Accounting and Payment ... Adjustment units, with some latitude for independent action, the Account Specialist conducts a thorough review of financial transactions, applicable credits,… more
- Centene Corporation (Tallahassee, FL)
- …and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. + Understands ... the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet productivity and accuracy standards + Ability to defend coding decisions to both… more
- State of Georgia (Fulton County, GA)
- …Specialist (CDMS) + Certified Rehabilitation Registered Nurse (CRRN) + Work Adjustment and Vocational Evaluation Specialist (WAVES), + Licensed Professional ... (LPC); + Certified Case Manager (CCM) + Certified Occupational Health Nurse/ Specialist (COHN/COHNS) and, Five (5) years of rehabilitation experience. Must have… more
- Fairview Health Services (St. Paul, MN)
- …Certified Professional Coder - Hospital (CPC-H), Certified Clinical Documentation Specialist -Outpatient (CCDS-O), Certified Risk Adjustment Coder (CRC) ... Certified Professional Coder - Hospital (CPC-H), Certified Clinical Documentation Specialist -Outpatient (CCDS-O), Certified Risk Adjustment Coder (CRC)… more
- Veterans Affairs, Veterans Health Administration (Saginaw, MI)
- Summary The Vocational Rehabilitation Specialist carries out all duties related to attaining and maintaining competitive employment for Veterans living with severe ... to: Identifies suitable employment opportunities, monitors placements, promotes successful adjustment . Maintains day-to-day contact with potential employers, placement personnel,… more
- University of Colorado (Denver, CO)
- **International Services Specialist ** **University of Colorado Denver** International Services Specialist - 35499 University Staff **Description** **Position ... Title: Academic Services Intermediate Professional** **Working Title: International Services Specialist ** **FTE: Full-time** **Salary Range: $50,580 - $55,905** **Position… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Supervisory Vocational Rehabilitation Specialist position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), at ... appropriate for and either providing such services or assigning to subordinate Specialist . Works directly with community agencies, and community employers with the… more
- Molina Healthcare (Las Vegas, NV)
- …position. Please highlight this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Quality contributes to one or more of these ... quality improvement/risk adjustment functions: + Implements key quality and population health...Implements key quality and population health strategies and risk adjustment , alongside providers and with direction from the Mgr.,… more
- Wellpath (Long Beach, CA)
- …health setting as a specialist in the fields of physical restoration, social adjustment , or vocational adjustment . + Up to two years of graduate professional ... care support. **How you make a difference** The Mental Health Rehabilitation Specialist is responsible for organizing, implementing, and providing daily care to… more
- Providence (Anchorage, AK)
- …with the emphasis on the Pediatric patients' and families' positive adjustment to hospitalization. Provides interventions to circumvent the negative psychological ... with all pediatric age patients to facilitate their socialization and positive adjustment to the hospital environment by promoting age appropriate activities to… more