- VNS Health (Manhattan, NY)
- …deviations from coding protocols. Conducts chart review around Provider Risk Adjustment Activity and clinical documentation errors around HCC alerts ... CMS Hierarchical Condition Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding… more
- Ankura (Chicago, IL)
- …and industry guidance related to medical necessity, utilization management, risk adjustment and clinical documentation requirements + Ability to assess ... explain complex clinical concepts consistent with their experience and supported clinical documentation and practice standards. This role can be virtual or… 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... Coder (CRC), required + Registered Nurse (RN) or clinical qualifications a plus + Bachelor's degree (healthcare or… more
- Baylor Scott & White Health (Columbus, OH)
- …require one of the following certifications: Certified Coding Specialist (CCS) Certified Clinical Documentation Specialist (CCDS) BSW code (CCDOSCP) Certified ... the final Diagnosis Related Group, Severity of Illness, and Risk of Mortality. **SALARY - WORK MODEL** 100% Remote...Clinical Documentation Specialist Outpatient (CCDS-O) Certified Documentation Improvement… more
- ChenMed (Miami, FL)
- …to ensure that medical documentation and supportive evidence complies with risk adjustment initiatives, improving revenue cycle and denial of payments. ... we need great people to join our team. The Risk Adjustment Auditor works in a collaborative...other support departments to review medical records and other clinical documentation to identify appropriate medical charts… more
- Trinity Health (Columbus, OH)
- …leading education training and development opportunities to keep you working at yours. Risk Adjustment Coding Specialist works in a team environment and is ... improvement plans. + Collaborates with providers to formulate appropriate modifications to clinical documentation to reflect the appropriate use of clinical … more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance, ... the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In Office Assessment program for both MA… more
- Corewell Health (Grand Rapids, MI)
- …Location SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name Risk Adjustment Employment Type Full time Shift Day (United States of America) ... upon user needs, and a sound understanding of applicable business or clinical systems and industry requirements, formulates and defines average to large project… more
- MedKoder (Mandeville, LA)
- …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. This… more
- Mount Sinai Health System (New York, NY)
- …have a minimum of 3 years coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in a healthcare setting, ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support...following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified Professional… more
- Beth Israel Lahey Health (Wakefield, MA)
- …coordinators and Director in a variety of initiatives managed under the clinical documentation improvement/acuity/ risk adjustment umbrella, including, ... but not limited to concurrent CDI programs for risk adjustment , optimizing tools at point of...of content and resources related to clinical documentation improvement/acuity Compile colleague feedback related to risk… 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
- 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
- SSM Health (MO)
- …and their commitment to our mission is what sets us apart. The Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the ... improvement in the overall quality and completeness of provider-based clinical documentation in the medical record. This position will be responsible for… 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
- Henry Ford Health System (Troy, MI)
- …outreach and engagement activities to the HAP provider network. + Provides detailed health risk clinical documentation and coding education and training to ... and Education Specialist - Level II, specific to the Risk Adjustment Coding and Clinical ...documentation and coding of CMS Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) and vendor… more
- Molina Healthcare (WA)
- …and colleagues to develop and implement provider education/engagement in risk adjustment models to better align with clinical documentation requirements, ... Programs is part of our innovative WA Quality & Risk Adjustment department to assist our diverse...and maintains program work plans, workflows, and related program documentation . Develops and implements efficiency measures that are consistent… more
- VNS Health (Manhattan, NY)
- …as patient charts, to identify areas of opportunity to support accuracy clinical documentation . Works with Risk Adjustment and Quality team to identify ... OverviewTravels to provider practice locations to educate providers on Clinical documentation and Quality measures to ensure member's receive the care for all… more
Related Job Searches:
Adjustment,
Clinical,
Clinical Documentation,
Documentation,
Risk,
Risk Adjustment