- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
- Highmark Health (Annapolis, MD)
- …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… 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 ... 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
- Deloitte (Baltimore, MD)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk … more