- Evolent Health (Annapolis, MD)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The ** Risk Adjustment HCC Coding Support Specialist ** at Evolent will be an intricate ... score calculations. **What You Will Be Doing:** As a Risk Adjustment HCC Coding Support Specialist , you will perform a comprehensive review of progress… more
- Highmark Health (Annapolis, MD)
- …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
- RELX INC (Annapolis, MD)
- Sales Operation Specialist Would you like to be part of a team that delivers high-quality support to our customers? Would you like the opportunity to learn ... cutting-edge administrative skills? About the Business: LexisNexis Risk Solutions is the essential partner in the assessment...role: This is a Digital Identity Strategic Sales Operations Specialist position About the team: The Strategic DI Sales… more
- RELX INC (Annapolis, MD)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- CareFirst (Baltimore, MD)
- …financial and incentive models. Strategizes alternatives and solutions to maximize payments and risk adjustment . Translates from claim language to services in an ... Certified Coder (CCS or CPC)-AHIMA or AAPC **Experience:** 3 years experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in… more
- HUB International (Ellicott City, MD)
- …owned global insurance broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management ... We currently have an opportunity for a **Claim Service Specialist ** to join our team in our **Ellicott City,...+ Proficiency with claims reporting, advocacy, status and reserve adjustment concerns. + Proficiency with Microsoft Office Products. +… more
- Travelers Insurance Company (Hunt Valley, MD)
- …partners. Travelers offers a hybrid work location model that is designed to support flexibility. **What Will You Do?** + Directly handles assigned claims. + Provides ... for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include ... involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment , participating in internal audits for...with the abstractor. + Utilizes various software applications to support HEDIS operations by entering data and / or… more