- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS- ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior… more
- Baylor Scott & White Health (Annapolis, MD)
- …Scott and White Health strategies and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range for this position is $26.27/hr ... audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record...have one of the following: + CCS - Certified Coding Specialist + CCS-P - Certified … more
- CareFirst (Baltimore, MD)
- … or + Certified Coder (CCS or CPC)-AHIMA or AAPC **Experience:** 3 years experience in risk adjustment coding , ambulatory coding and/or CRC coding ... financial and incentive models. Strategizes alternatives and solutions to maximize payments and risk adjustment . Translates from claim language to services in an… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Medical Coding Specialist to support a leading health insurance customer. The individual acts as an ... models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an episode… more
- TEKsystems (Baltimore, MD)
- Description: JOB TITLE: MEDICAL CODING SPECIALIST PURPOSE Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are ... models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an episode… more