- Evolent Health (Boston, MA)
- …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 (Boston, MA)
- …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 (Cambridge, MA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- RELX INC (Cambridge, MA)
- 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
- Sedgwick (Boston, MA)
- …an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful… more
- Tufts Medicine (Burlington, MA)
- …4. Demonstrates a strong understanding of case mix index, MCC/CC capture, severity of illness/ risk of mortality, LOS, risk adjustment diagnoses. 5. Provides ... all team members on documentation guidelines, provides guidance and support as well as assisting in the education and...procedures, for accurate representation of severity of illness, expected risk of mortality, and complexity of care of the… more