- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Professional + Employment Type: ... Requirements: None Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and ... supplemental data CMS filing, HHS- Risk Adjustment Data Validation (RADV) audit and...to management team to further enhance quality and/or provider education . Work with leadership and third-party vendors to negotiate… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan ... abstracting and validating data from medical records, and providing education on documentation to support HCCs. **Position Details:** This...+ Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not… more
- The Cigna Group (Houston, TX)
- …preparation) to support business needs. The role will work under the direction of Risk Adjustment & Stars Provider Education Regional Manager in conjunction ... principles and guidelines. **Core Responsibilities:** + In partnership with Risk Adjustment & Stars Provider Education...Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist … more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* This role contributes to Health First Health Plans' (HFHP) Risk Adjustment data collection, supporting compliance with regulatory and ... (IFP) lines of business. This individual will ensure the integrity of HFHP risk adjustment data by critically analyzing and identifying supplemental risk… more
- Trinity Health (Hartford, CT)
- …regulations, compliance and reimbursement, and the effects of coding in relation to risk adjustment payment models + Conduct chart review audits, identify coding ... Day Shift **Description:** **Position Purpose** The Clinically Integrated Network (CIN) Risk Coding Specialist is responsible for reviewing medical records… more
- The Cigna Group (Nashville, TN)
- …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)...outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge… more
- Mount Sinai Health System (New York, NY)
- …preferred ? Credentials in one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified ... and act as a liaison between all parties. **Qualifications** ** Education and Experience** **? High school diploma or general...or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment… more
- Molina Healthcare (NV)
- …Specialist , Provider Quality contributes to one or more of these quality improvement/ risk adjustment functions: + Implements key quality and population health ... implements new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network; ensures maintenance...strategies and risk adjustment , alongside providers and with direction… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- Summary The Vocational Rehabilitation Specialist position is located at the St. Cloud VA, in the Mental Health Service Line, within Vocational Rehabilitation ... in terms of the practical effects of such handicaps on motivations, adjustment to training, and difficulty in employment placement. Supports through transition in… more
- Veterans Affairs, Veterans Health Administration (Charleston, SC)
- … adjustment requirements necessary to place persons having disabilities or social adjustment problems. OR, Education : Applicants may substitute education ... Vocational Rehabilitation Specialist position. OR, Combination: Applicants may also combine education and experience to qualify at this level. You must have an… more
- Mount Sinai Health System (New York, NY)
- …preferred + Credentials in one or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the...coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background… more
- Veterans Benefits Administration (Indianapolis, IN)
- Summary As a Financial Administrative Specialist you will provide accounting and financial reporting on behalf of the Regional Office. The division also implements ... on the operational areas identified as having a high risk of fraud, waste, and abuse. Ability to communicate...Operations section. Oversee the work of the Financial Administrative Specialist and ensures appropriate separations of duties are in… more
- SSM Health (MO)
- …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... our mission is what sets us apart. The Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and… more
- Mendocino County Sheriff's Office (CA)
- …setting as a specialist in the fields of physical restoration, social adjustment or vocational adjustment . Up to two (2) years of graduate professional ... Mental Health Rehabilitation Specialist Print (https://www.governmentjobs.com/careers/mendocinoca/jobs/newprint/4710253) Apply Mental Health Rehabilitation … more
- SSM Health (MO)
- …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... represents the current health status of network patients against ever-changing risk adjusted models. Responsible for achieving improved documentation results and … more
- Sanford Health (Worthington, MN)
- …accreditation and regulatory agency standards preferred. Quality, medical coding, and/or risk adjustment experience is preferred. Currently holds an unencumbered ... of nursing. Will incorporate responsibilities related to the quality risk and risk score adjustment ...including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in… more
- Intermountain Health (Las Vegas, NV)
- …leaders, physicians, advanced practice providers (APP), and other staff about documentation and risk adjustment in order to improve the accuracy of the overall ... mentor to leaders, physicians, APP's, and other staff about documentation and risk adjustment . + Reviews medical records documentation for reimbursement,… more
- Commonwealth of Pennsylvania (PA)
- Psychological Services Specialist , Corrections - SCI Smithfield Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4704029) Apply Psychological ... Services Specialist , Corrections - SCI Smithfield Salary $66,250.00 - $100,636.00...psychological services to meet the mental health and emotional adjustment needs of the inmate population at SCI Smithfield.… more
- US Coast Guard (Honolulu, HI)
- Summary This vacancy is for a GS-0101-12, Family Advocacy Specialist located in the Department of Homeland Security, US Coast Guard, BASE OPERATIONS DIVISION -LOG-3, ... Honolulu, Hawaii Responsibilities You will serve as a Family Advocacy Specialist and be responsible for providing direct service in the form of counseling… more