- Centene Corporation (Tallahassee, FL)
- …using the most current International Classification of Diseases, (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or ... Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.… more
- Centene Corporation (Tallahassee, FL)
- …Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. ... the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet...one of the following is required: **Required Certified Professional Coder (CPC)** **Preferred Certified Coding Specialist (CCS)** **Preferred Skills:**… more
- Baylor Scott & White Health (Tallahassee, FL)
- …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...Certified Coding Specialist-Physician Based + CPC - Certified Professional Coder + RHIA - Reg Health Info Administrator +… more
- Conviva (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...Leader to identify and influence enhancements to the GenAI ( CODER ) tool to improve the medical coder … more
- Conviva (Tallahassee, FL)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- CenterWell (Tallahassee, FL)
- …Must possess an active RN license + A minimum five years' experience in risk adjustment coding, auditing, and/or education, working with providers + CPC ... clinician educators. + Work closely with coding team and coder education teams to loop in performance data and...experience + Knowledge of EMR + In-depth knowledge of risk adjustment key performance indicators + Comprehensive… more