- VNS Health (Manhattan, NY)
- …for process improvement for ensuring compliance. + Enterprise Wide Risk Adjustment Collaboration Activities and Initiatives and support Manager in driving ... creation, maintenance, and enhancement of clinical documentation accuracy in support of building a model of care focused on...Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding preferred… 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
- Trinity Health (Columbus, OH)
- …provide leading education training and development opportunities to keep you working at yours. Risk Adjustment Coding Specialist works in a team environment ... Assessment Forms and maintains accurate database of submission and payment. + Certified Risk Adjustment Coder certification within one year of hire required. +… more
- Baylor Scott & White Health (Columbus, OH)
- …or procedures to support the appropriate severity of illness (SOI), expected risk of mortality (ROM) and complexity of care of the patient through extensive ... **JOB SUMMARY** Clinical Doc Improvement Specialist 1 performs patient record reviews concurrently and/or...complete, accurate and timely documentation of all conditions that support hospitalization and treatment of the patient. Creates queries… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment ... monitoring of key performance indicators to enable operational excellence within the risk adjustment department. You will be responsible for coordinating mock… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: RMRA (Revenue Management Risk Adjustment ) Health Risk Coding and Education Specialist - Level II, specific to the Risk Adjustment ... not limited to coordination, documentation and coding of CMS Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) and vendor service project Risk… more
- Bank of America (New York, NY)
- Enterprise Financial Risk Sr. Specialist Charlotte, North Carolina;Jersey City, New Jersey; New York, New York; Chicago, Illinois **Job Description:** At Bank of ... reports, and interfacing with the trading desk and other risk and support groups (ie, Compliance, Finance,...change control reviews + Counterparty/securities spot RWA and manual adjustment testing + Market risk RWA and… more
- Amazon (Seattle, WA)
- …The Risk , Audit, Accounting, and Compliance (RAAC) team is seeking a Sr. Risk Specialist to support the Commerce Platform organization with government ... SOX and General Data Protection Regulation (GDPR). The Senior Risk Specialist will be responsible for managing...adjustment during the application and hiring process, including support for the interview or onboarding process, please visit… more
- New York State Civil Service (New York, NY)
- …No Agency Financial Services, Department of Title Financial Crimes Blockchain Analytics Risk Associate (Financial Services Specialist 4 (Financial Crime Risk ... Services is seeking candidates for the position of Financial Crimes Blockchain Analytics Risk Associate in the Virtual Currency Unit. Duties include, but are not… more
- Amazon (Seattle, WA)
- …well as where we operate around the world. As you launch your career as a Risk Specialist at Amazon, you will focus on improving the success of the organization ... adjustment during the application and hiring process, including support for the interview or onboarding process, please visit… more
- Amazon (Boston, MA)
- …adjustment during the application and hiring process, including support for the interview or onboarding process, please visit ... passion for customers. As a member of the Workplace Trust: Privacy, AI, and Risk team, you will play a key role in operationalizing privacy across Amazon's global… more
- New York State Civil Service (Albany, NY)
- …of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime Risk ), SG-23) Occupational Category Other ... but are not limited to, the following:* Evaluates illicit activity risk leveraging on-chain attribution and direct/indirect exposure associated with DFS-regulated… more
- Henry Ford Health System (Troy, MI)
- …community improve with accurate submission of clinical documentation and coding of risk adjustment data through a combination of education and engagement ... GENERAL SUMMARY: The Lead Coding and Education Specialist will support the activities that...using the Altegra RiskView systems for both Medicare Advantage Risk Adjustment and Healthcare Reform Risk… more
- Medical Mutual of Ohio (OH)
- …best possible health and quality of life. **Responsibilities** **Medical Record Retrieval Specialist ** Supports the company's risk adjustment projects by ... Record Retrieval Specialist ** Under limited supervision, supports the company's risk adjustment projects by collaborating with vendors and provider… more
- RELX INC (Alpharetta, GA)
- …of working in a fast-paced environment. About the Role: The Technical Support Specialist identifies and delivers technical training, conducts root-cause ... About the Business: LexisNexis Risk Solutions is the essential partner in the...diligently to address escalated customer questions or issues. The specialist is gaining proficiency in various processes and procedures… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- Recovery Support Specialist (32 Hour) (Part-Time) Office/On-Site Recruitment # 241218-5729HN-001 Location Bridgeport, CT Date Opened 12/24/2024 12:00:00 AM ... We are currently recruiting a passionate and bilingual Recovery Support Specialist (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5729HN&R1=&R3=) to join our team… more
- Hartford HealthCare (Farmington, CT)
- … specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to ... comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and...6. Identify process improvements to capture data for Medicare Risk Adjustment and help providers code to… more
- Highmark Health (Columbus, OH)
- …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist … more
- AIG (Chicago, IL)
- …is part of the UW support career progression and may report to a Senior Specialist , UW Support , Team Leader, or to an Team Manager, Underwriting Support . ... UW Asst is an individual contributor within the Underwriting Support Unit of the unit's field operations. This role...field operations. This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The… more
- SSM Health (MO)
- … 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
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