- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... client care documentation for billing. + Monitors and informs manager of records that are not completed timely. Monitors,...year if hired.** + **Two-years of experience in a risk adjustment coding environment required.**… more
- Datavant (Atlanta, GA)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of...from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the … more
- Point32Health (Canton, MA)
- …and consultation activities supporting the complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on ... The Manager will build relationships and drive risk adjustment engagement with senior leaders at...Procurement and Compliance) to refine prospective and retrospective diagnosis coding programs. This individual will oversee team efforts to… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- Datavant (Honolulu, HI)
- …Experience in building queries to collect and interpret raw data from databases to support risk adjustment coding and medical record + Experience in using ... and aggregate data from multiple data sources for supporting risk adjustment medical record coding ...train other junior analysts in support of their direct manager What you will bring to the table: +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with...* Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or… more
- HCA Healthcare (Nashville, TN)
- …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
- CenterWell (Orlando, FL)
- … Curriculums. In this role, you'll blend your clinical expertise-especially in Medicare Risk Adjustment (MRA) and HCC coding -with instructional design skills ... + Design and develop provider education programs focused on clinical documentation, risk adjustment , and coding accuracy for value-based primary… more
- CenterWell (Tampa, FL)
- …in a value-based primary care setting. This role uses clinical expertise and knowledge of risk adjustment and coding to present educational materials in a ... equivalent) or AAPC CPC certification + Strong understanding of risk adjustment , HCC coding , value-based...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Tallahassee, FL)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- Elevance Health (Norfolk, VA)
- …data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** ... **JR171732 Coding Auditor Sr** CareBridge Health is a proud...project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates… more
- UPMC (Pittsburgh, PA)
- …Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment , coding , and clinical documentation improvement. + ... reports to providers that summarize their performance related to coding and documentation and risk adjustment...quality of patient care and maximize risk adjustment revenue. + Assist Senior Manager in… more
- Henry Ford Health System (Troy, MI)
- …regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk Adjustment analysis and reimbursement guidelines. ... GENERAL SUMMARY: The Outpatient Clinical Documentation (CDI) Manager is responsible for managing, coordinating, and performing day-to-day operations for the… 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 ... work in collaboration with the clinical documentation specialists (CDS), coding professionals, providers, nursing staff and other patient care...capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. .… more
- Trinity Health (Livonia, MI)
- …documentation integrity, coding , healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), ... structure, workflows & guidance of best practice documentation standards to ensure coding compliance & minimize audit liability. + Provides emphasis on adherence to… more
- Geisinger (Danville, PA)
- …Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders ... of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider… more
- Hartford HealthCare (Farmington, CT)
- …practices that comply with CMS on evaluation and management, procedure, risk adjustment program requirements and ICD 10 coding guidelines. Reporting to ... of their employment with Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs preferred o Experience working in… more
- University of Washington (Seattle, WA)
- …mental health care. Other areas of excellence include Addictions, Autism, High Risk Youth, Neurosciences, and Trauma, and the Department is developing innovative new ... UW School of Medicine currently has an outstanding opportunity for a **Clinical Revenue Manager ** . The Clinical Revenue Manager position will play an integral… more
- Amazon (Boston, MA)
- Description Employer: Amazon.com Services LLC Position: Technical Program Manager II Location: Boston, MA Multiple Positions Available: Coordinate and manage ... software applications, systems, platforms, services, or technologies using Object Oriented coding and design (Java, C++, Perl, HTML) throughout the complete software… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Senior Manager , Technical Lead / Solution Architect combines strategic solution design ... integrates enterprise platforms (eg, Veeva Vault PromoMats and Adobe Experience Manager ), and incubates Generative AI capabilities to transform compliant content… more
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