- Avera (Sioux Falls, SD)
- …the Director of Quality and Risk Services, Manager of Risk Adjustment , Manager of Quality, Quality Coordinator - HEDIS, coder(s), claims staff, and ... do** + Understand the rationale behind Risk Adjustment Work with physicians, clinic staff, coding ,...Participates in HEDIS abstraction efforts in collaboration with Quality Coordinator - HEDIS. + Supports member and provider outreach… more
- Blue KC (Kansas City, MO)
- …on program implementation and barrier resolution. + Provide training on Stars measures, risk adjustment coding practices, and Blue KC program administration, ... educational tools for network providers regarding risk adjustment and HEDIS documentation and coding best practices to facilitate risk adjustment… more
- Henry Ford Health System (Troy, MI)
- …billing and third-party payer regulations. + Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. + Knowledge of ... member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on... will be responsible for research and guidance on coding such as CPT, HCPCS, ICD used in the… more