- Saint Francis Health System (Tulsa, OK)
- …preferred. Knowledge, Skills and Abilities: Strong understanding of risk adjustment methodologies and clinical documentation standards. Working knowledge ... HERE (http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld)** **to login and apply.** Full Time Days **CDI/ Risk Adjustment /HCC coding** **experience** Schedule: Monday -… more
- Fairview Health Services (St. Paul, MN)
- …Certified Professional Coder - Hospital (CPC-H), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), Certified Risk Adjustment Coder ... Certified Professional Coder - Hospital (CPC-H), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), Certified Risk Adjustment Coder… 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 ... documentation , working closely with physicians, IPA coders, and risk adjustment teams associated with the health...or more years of experience in providing education to clinical and non- clinical staff, required + Understanding… more
- ChenMed (Miami, FL)
- …and other support departments to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap ... and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment ...our members as well as correct reimbursement. + Identifies clinical coding and documentation trends and training… more
- Molina Healthcare (Rochester, NY)
- …Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures ... contracts have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration... and quality efforts (eg Supplemental data, EMR connection, Clinical Profiles programs) and use of the Molina Provider… more
- Baylor Scott & White Health (Columbus, OH)
- …audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and abstracts ... scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines...+ Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance… more
- Ascension Health (Des Plaines, IL)
- …reviews to identify inaccurate or unclear documentation and coding relating to risk adjustment and version 28 HCC ICD-10 + Utilizes approved Ascension ... Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid… more
- Corewell Health (Grand Rapids, MI)
- …service excellence. Qualifications Required + Bachelor's Degree or equivalent + Must have risk adjustment knowledge and working experience + 5 years of relevant ... needs, and a sound understanding of applicable business or clinical systems and industry requirements, formulates and defines average...- 1231 E Beltline - Grand Rapids Department Name Risk Adjustment Employment Type Full time Shift… more
- AdventHealth (Altamonte Springs, FL)
- … Integrity (CDI) as it relates to Risk Adjustment with documentation best practices, understands clinical suspects and appropriate clinical ... education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. The… more
- Intermountain Health (Las Vegas, NV)
- …is to educate leaders, physicians, advanced practice providers (APP), and other staff about documentation and risk adjustment in order to improve the ... complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices. **Schedule...mentor to leaders, physicians, APP's, and other staff about documentation and risk adjustment . +… more
- Ascension Health (Indianapolis, IN)
- … Documentation Specialist experience specializing in mortality review and risk adjustment . Candidates work regularly with Premier or Vizient programs. ... **Details** + **Department:** Clinical Documentation Integrity, Must have previous...previous or current inpatient CDI experience specializing in mortality risk adjustment + **Schedule:** Full Time Days,… more
- Actalent (Sacramento, CA)
- …regulations. + Perform quality-based reviews, mortality reviews, and utilize risk adjustment tools. Essential Skills + Clinical expertise in Health care, ... Remote RN- Clinical Documentation Improvement Specialist MUST HAVE:...required. + Experience with quality-based reviews, mortality reviews, and risk adjustment tools. + Preferred specialties in… more
- Bassett Healthcare (Cooperstown, NY)
- …health and enjoy the best quality of life possible. What you'll do The Clinical Documentation Improvement (CDI) Educator will work under the supervision of the ... in an effort to properly reflect severity of patient illness to ensure accurate risk adjustment . The CDI Educator will conduct focused reviews and operational… more
- SSM Health (MO)
- …expectations for compliance. + Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and ... support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an… more
- Kaleida Health (Buffalo, NY)
- ** Clinical Documentation Specialist Outpatient** **Location:** Buffalo General Medical Center Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** ... Shift 1 Job Description **Summary:** The Outpatient Clinical Documentation Specialist (CDS) will perform concurrent...is captured to support the level of service rendered, risk adjustment of the patient population, and… more
- Kaleida Health (Buffalo, NY)
- …24040 - KH Patient Financial Services **Job Description:** The Outpatient Clinical Documentation Specialist (CDS) will perform concurrent and retrospective ... billing providers) who submit for professional fee reimbursement. Review clinical documentation for opportunities to improve Provider...is captured to support the level of service rendered, risk adjustment of the patient population, and… more
- Queen's Health System (Honolulu, HI)
- …* Responsible for assisting in the overall quality and completeness of clinical documentation throughout The Queen's Health Systems, through concurrent medical ... and code assignment for the purposes of appropriate reimbursement, risk adjustment , severity of illness, risk...degree in Nursing. * Current certification as a Certified Clinical Documentation Specialist (CCDS) by the Association… more
- CVS Health (Houston, TX)
- …Quality Improvement + Utilization Management + Network Management + Health Plan Management + Documentation / Risk Adjustment + Clinical Compliance & Policy ... will partner with the Regional Vice President to achieve operational and clinical excellence and world class performance in hospital admissions, quality, patient… more
- VNS Health (Manhattan, NY)
- …metrics and patient charts, identifying opportunities to support precise clinical documentation . Collaborating with the Risk Adjustment and Quality ... we'll work towards delivering the highest standards of care and enhancing clinical documentation practices that make a meaningful difference in patients'… more
- Novant Health (NC)
- …CPC (Certified Professional Coder), required. + CRC (Certified Risk Adjustment Coder), required. + CDEO (Certified Documentation Expert Outpatient), ... of compliance to improve overall quality and completeness of clinical documentation within the patient electronic medical...and competence testing. + Completion of Risk Adjustment Coding Certification (CRC) and Certified Documentation … more
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