- Careers Integrated Resources Inc (Atlanta, GA)
- Job Title: Risk Adjustment Clinical Reviewer Location:...clinical data auditing or HHS risk adjustment is helpful . Perform review on ... clinical practice experience . 1 year experience in clinical auditing or medical review preferred ....degree. Basic Function: . Function as a clinical reviewer for HHS risk adjustment… more
- Careers Integrated Resources Inc (Atlanta, GA)
- …with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code ... abstraction for the following programs; including but not limited to, Commercial Risk Adjustment , Medicare Advantage Risk Adjustment , Commercial IVA… more
- Baylor Scott & White Health (Atlanta, GA)
- …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...+ Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards… more
- CenterWell (Atlanta, GA)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records and...Responsible for performance management and strategy development for PCO risk adjustment at the division and market… more
- Banner Health (Atlanta, GA)
- …required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation requirements. Must ... care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s)… more