- Evolent Health (Workman, MN)
- …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 (St. Paul, MN)
- …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
- Robert Half Office Team (Minneapolis, MN)
- …provider demographics and medical record requests * Perform medical record reviews for risk adjustment , HEDIS and HEDIS-like measures via remote EMR access or ... the Healthcare industry. This role is for a Retrieval Specialist who will be instrumental in enhancing the quality...critical incidents immediately + Performs medical record reviews for risk adjustment , HEDIS(R) and HEDIS(R)-like measures via… more
- Robert Half Office Team (St. Paul, MN)
- …vital role in the data collection cycle within Retrieval Operations, which focuses on risk adjustment and quality improvement. In this role, you will collaborate ... (PHI), and reporting critical incidents immediately. + Review medical records for risk adjustment and HEDIS(R)-related measures via remote EMR access or… more
- Robert Half Accountemps (Minneapolis, MN)
- …integrates talented individuals with expertise and experience in many areas of risk adjustment and quality improvement, including HEDIS(R), CAHPS and ... information; reports critical incidents immediately + Performs medical record reviews for risk adjustment , HEDIS(R) and HEDIS(R)-like measures via remote EMR… more
- Bristol Myers Squibb (Minneapolis, MN)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position:** Therapeutic Area Specialist (TAS) **Senior Therapeutic Area Specialist , Cardiovascular ... emerging data for approved indications. - Engages real-time medical support through Medical on Call to reactively answer unsolicited...by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. + \#LI-REMOTE… more
- Sedgwick (St. Paul, MN)
- …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
- Travelers Insurance Company (St. Paul, MN)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses. + Attends depositions, mediations, arbitrations, pre-trials, trials and… more
- Travelers Insurance Company (St. Paul, MN)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... resolution. + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses. + Perform other duties as assigned. **What Will Our Ideal… more
- Banner Health (MN)
- …required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation requirements. Must ... - 3 months according to individual needs, with continued support throughout your career here!** **This is a fully...DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors appropriate to the assigned area, and… more