- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... clinical chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other… more
- Humana (Jefferson City, MO)
- …a part of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates ... an education plan tailored to each assigned provider. The Senior Coding Educator is responsible for creating... Educator is responsible for creating and executing the risk adjustment strategy for each provider groups.… more
- Blue KC (Kansas City, MO)
- …on program implementation and barrier resolution. + Provide training on Stars measures, risk adjustment coding practices, and Blue KC program administration, ... educational tools for network providers regarding risk adjustment and HEDIS documentation and coding best practices to facilitate risk adjustment… more
- Deloitte (Kansas City, MO)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk ...for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply… more
- Humana (Jefferson City, MO)
- …and vendors to resolve issues and maintain compliance with CMS and Medicare Risk Adjustment requirements. + Support auditing processes for corrected claims, ... that ensure compliance and accuracy for Medicare members. As a Senior Program Delivery Professional, you'll manage vendor claims processes, monitor compliance,… more