- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Professional + Employment Type: Full - ... Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office staff on a routine basis… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS-Risk ... guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior coding specialists are… 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
- Evolent Health (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The **Risk Adjustment HCC Coding Support Specialist ** at Evolent will be an intricate part ... score calculations. **What You Will Be Doing:** As a Risk Adjustment HCC Coding Support Specialist , you will perform a comprehensive review of progress notes to… more
- Dominion Energy (Richmond, VA)
- …material delivery, price discrepancies, quality issues, invoice discrepancies, and/or adjustment . **Sourcing Specialist Duties:** + Conducts major spend ... Associate Sourcing Specialist /Sourcing Specialist Dominion Energy is committed to providing reliable, affordable, and increasingly clean energy that powers our… more
- Fallon Health (Worcester, MA)
- …report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details and ... to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations +...submission as well as deletion in support of claims adjustment efforts + Ensure chart reviews and related claims… more
- Humana (North Miami Beach, 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 Miami/Dade… more
- The Cigna Group (Nashville, TN)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified ... **Coding Education Specialist (AHIMA or AAPC certified) -** **Philadelphia, PA...or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence to… more
- Health First (Rockledge, FL)
- …required. * Certification: o Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification. o Certified Risk Adjustment Coder (CRC) from ... *POSITION SUMMARY * Contribute to Health First Health Plans Risk Adjustment activities that support compliance with regulatory and contractual requirements specific… more
- The Cigna Group (Bluffton, SC)
- …the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates with Cigna Compliance colleagues and business ... a dynamic, fast-paced environment. The candidate must demonstrate solid command of risk adjustment . This compliance team member must be adept at working with a… more
- Apex Health Solutions (Houston, TX)
- …enrich the overall member experience. Essential Duties and Responsibilities: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient ... outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Follows CMS Risk Adjustment guidelines and has a… 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
- Baylor Scott & White Health (Columbus, OH)
- …White Health strategies and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range for this position is $26.27/hr (entry-level ... and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code...one of the following: + CCS - Certified Coding Specialist + CCS-P - Certified Coding Specialist -Physician… 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
- The Cigna Group (Chattanooga, TN)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + ... Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. The role… more
- State of Colorado (Denver, CO)
- Assistive Technology Specialist Trainee Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4663591) Apply Assistive Technology Specialist ... screening, comparative analysis, or interviews. Description of Job Classification:Training Specialist II (H4I2XX (https://drive.google.com/file/d/0B4enHpLSVk4ebUNEazJyNXNKWmM/view?resourcekey=0-suEv6dAnQVFLMYe8\_81HqA) ) Salary Range: $23.97 -… more
- Mount Sinai Health System (New York, NY)
- …? Credentials in one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional ... or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder...Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional Coder (CPC) Non-Bargaining… 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
- The National Radio Astronomy Observatory (Los Alamos, NM)
- VLBA Specialist I-II (4915) Engineers, Technical Specialists and Technicians Los Alamos, New Mexico Apply Description Position Description: Position Summary The ... unprecedented detail. The National Radio Astronomy Observatory (NRAO) announces an VLBA Station Specialist . The VLBA Station Specialist is a hands-on technical… more
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