- 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
- 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):** Pay Range:… more
- Evolent Health (Tallahassee, FL)
- …2+ years in a Risk Adjustment HCC coding role as a Certified Risk Adjustment Coder ("CRC") or equivalent. Experience in working with Primary Care ... Stay for the culture. **What You'll Be Doing:** The ** Risk Adjustment HCC Coding Support Specialist** at...and Commercial patients using the CMS HCC crosswalks, this coder will perform a comprehensive review of each progress… more
- Centene Corporation (Tallahassee, FL)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...setting or a Managed Care Organization as a medical coder **2+ years of experience** in coding with knowledge… 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
- Highmark Health (Tallahassee, FL)
- …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...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder… 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
- Conviva (Tallahassee, FL)
- …collaboration with healthcare providers + Medical record review knowledge + Medicare Risk Adjustment knowledge + Extensive knowledge of coding guidelines (ie ... speaking and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with healthcare providers… more