- SENIOR CARE THERAPY (Vineland, NJ)
- …of emotional and behavioral health conditions, including depression, anxiety, adjustment disorders, and cognitive decline. * Develop and implement evidence-based ... care, or geriatric healthcare setting. * History of treating Anxiety, Depression and Adjustment Disorders. * Psych or Addictions experience is a plus. * Excellent… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer ... us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play...in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners.… more
- Ankura (New York, NY)
- …and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice and firmwide business ... + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. + Oversee and conduct… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's ... engagement and consultation activities supporting the complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key ... risk adjustment performance metrics through coordination of analytical processes, investigation...of analyses to improve awareness and understanding of risk adjustment results and quality, accuracy and identification of member… more
- Elevance Health (West Des Moines, IA)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... unless an accommodation is granted as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for completing projects… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... key risk adjustment performance metrics through coordination of analytical processes, investigation...of analyses to improve awareness and understanding of risk adjustment and identification of member health conditions. + Understand… more
- Centene Corporation (Jefferson City, MO)
- …United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 oversight. Reviews ... and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical documentation gaps, assesses risk levels,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy across Medicare ... conditions from the accurate collection, submission, and validation of risk adjustment data. Ensuring compliance with regulatory standards that ensure accurate and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment ... and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior coding specialists are… more
- Molina Healthcare (Mesa, AZ)
- …Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not… more
- Avera (Sioux Falls, SD)
- …matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). ... The Quality and Risk Adjustment Specialist will work closely with the Director of...Director of Quality and Risk Services, Manager of Risk Adjustment , Manager of Quality, Quality Coordinator - HEDIS, coder(s),… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The **Risk Adjustment & Quality Division at BCBST** is seeking a skilled **Risk Adjustment Medical Record Coder** to support our mission of delivering accurate ... in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder\) certification is a plus\. If not currently certified, you… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …leader with a strong background in medical records coding and quality assurance? Risk Adjustment is looking for a **Supervisor** to lead a dynamic team dedicated to ... accuracy and compliance in risk adjustment coding\. **About the Team:** This team plays a...Candidate Preferences:** + Familiarity with **ICD\-10 coding** and risk adjustment processes\. + Prior experience managing direct reports and… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Risk Adjustment Analyst** to join #TeamMVP. This is the opportunity for you if you ... and retrospective objectives in population health management including focus on Risk Adjustment efforts. + Design targeting based upon disparate data sources to… more
- The City of Houston (Houston, TX)
- …SERVICE REPRESENTATIVE II (Billing/ Adjustment ) Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/5161249) Apply CUSTOMER SERVICE REPRESENTATIVE ... II (Billing/ Adjustment ) Salary $20.74 - $22.66 Hourly Location 2700 Dalton...OVERVIEW Applications accepted from: All Persons Interested Division/Section: Utility Billing/Billing- Adjustment Reporting Location: 4200 Leeland Street Workdays & Hours:… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must obtain...if hired.** + **Two-years of experience in a risk adjustment coding environment required.** + Demonstrated the ability to… more
- Corewell Health (Grand Rapids, MI)
- About the Position The Population Health RN - Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical Condition ... expertise with health technology to ensure documentation supports accurate risk adjustment , quality reporting, and optimal patient care outcomes. About Outpatient… more
- Wolters Kluwer (Austin, TX)
- …Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** **Risk Adjustment Software | Health Language | Wolters ... the Eastern or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space, experience with Payer, Provider, and Vendor, and… more
- Paylocity (Lake Mary, FL)
- …entry applications, office products, and SQL to assist with resolution. Tax Adjustment Team Tax Adjustments is responsible for providing support to internal partners ... pay history data corrections. This includes processing corrective "nocalc" adjustment payrolls, creating corrected employee year-end tax forms, answering questions… more
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