- Kaiser Permanente (Anaheim, CA)
- …name; physical/medical issues; interpersonal and social relations; emotional/psychiatric/ adjustment ; issues including depression; role performance/social transition; ... plans, and organizes workload need within assigned hours. Case finds and screens high- risk patients according to Department protocol. Spends at least 70% of time in… more
- Dana-Farber Cancer Institute (Boston, MA)
- …backgrounds, and design programs to promote public health particularly among high- risk and underserved populations. We conduct groundbreaking research that advances ... improving pediatric patients' and families' effective coping skills and adjustment during pivotal transition points: diagnosis, treatment, protocol change, clinical… more
- The University of Vermont Health Network (Burlington, VT)
- …for part time roles). The bonus will be paid out as a $2,500 pay adjustment in the first paycheck following the completion of a successful, 90-day orientation; the ... dynamically oriented therapy, and trauma-focused interventions.Training and practice in risk assessment, workplace violence prevention, behavioral planning and consultation,… more
- Intermountain Health (Columbus, OH)
- **Job Description:** The Risk Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance ... with CMS and modeling financial impacts of changes in risk adjustment data and methodologies. This position interacts with analytical\coding staff in all… more
- Martin's Point Health Care (Portland, ME)
- …a "Great Place to Work" since 2015. Position Summary The Vice President of Risk Adjustment works closely and collaboratively with Vice Presidents in the Health ... to oversee the design, development, implementation, and execution of compliant risk adjustment strategies, programs, and initiatives for Martin's Point… more
- Tufts Medicine (Burlington, MA)
- …coding meets both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position has extensive knowledge of overall ... improve overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical records to determine if diagnostic codes… more
- Point32Health (Canton, MA)
- …Consulting & Operations, this individual will support the operations and analysis of all risk adjustment programs and serve as the primary point of contact to ... work closely with internal departments and external vendors to ensure that risk adjustment programs are implemented and operated at the highest levels of… 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 & Risk Adjustment Location: Houston, TX EDUCATION: * High School Diploma or GED… 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 ... before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed opportunities to address chronic conditions… more
- CVS Health (Hartford, CT)
- …from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare, MMP and DSNP lines of ... will serve as a hybrid project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs and related analytics and reporting. Your… more
- Somatus (Mclean, VA)
- …well-being + Community engagement opportunities + And more! The Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation ... of the organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial accuracy and ensure program compliance with governing… more
- Centene Corporation (Columbia, SC)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... at the provider and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation + Work in conjunction with other departments… more
- Molina Healthcare (Florence, KY)
- **Job Description** **Job Summary** The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics ... with research, development,and completion of special projects. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and ... to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A major… more
- CareFirst (Baltimore, MD)
- …for successful delivery of objectives, on time and within budget for Retrospective Risk Adjustment Activities for Chart Retrieval and Coding within CareFirst's ... that week.** **ESSENTIAL FUNCTIONS:** + Plans and initiates retrospective risk adjustment project resources, prepares budgets, monitors progress,… more
- Centene Corporation (NV)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... at the provider and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation + Work in conjunction with other departments… more
- Centene Corporation (Yuma, AZ)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... at the provider and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation + Work in conjunction with other departments… more
- CDPHP (Albany, NY)
- …to be a part of that experience. Annual salary range: $75,000 - 95,000 The Risk Adjustment Coding Supervisor will be responsible for oversight of CDPHP's Risk ... efficiency and quality practices. This position will work with the Manager, Risk Adjustment Coding Operations to prioritize coder workflows, communicate risk … more
- Atrius Health (Newton, MA)
- …before missing diagnoses are added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in accordance with ... captured in electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and implementing new initiatives for Atrius… more
- Elevance Health (Columbus, OH)
- **Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... 50 miles of our Elevance Health PulsePoint locations. The **Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for planning, directing… more
