- Trinity Health (Columbus, OH)
- …education training and development opportunities to keep you working at yours. **Position Purpose:** + Risk Adjustment Coding Specialist works in a team ... + Licensure / Certification: + CPC required + Certified Risk Adjustment Coder certification within one year...Experience: Minimum of two years of experience in medical coding and billing required **Position Highlights and Benefits:** +… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider ... the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In Office Assessment program for both MA… more
- Medical Mutual of Ohio (OH)
- … Coding Compliance Specialist I** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA ... Coding Compliance Specialist II** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA… more
- Medical Mutual of Ohio (Toledo, OH)
- …(Registered Health Information Technician) and/or + CCS/CCS-P (Certified Coding Specialist /Physician-based + CRC (Certified Risk Adjustment Coder) or ... **Job Summary:** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with… more
- Highmark Health (Columbus, OH)
- …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
- Medical Mutual of Ohio (OH)
- …best possible health and quality of life. **Responsibilities** **Medical Record Retrieval Specialist ** Supports the company's risk adjustment projects by ... Informatics in planning and delivery of reports to close coding and care gaps and improve member outcomes. .... Specialist ** Under limited supervision, supports the company's risk adjustment projects by collaborating with vendors… more
- Medical Mutual of Ohio (OH)
- …as Medicare Advantage, Medicare Supplement, and individual plans. Supports the company's risk adjustment projects by collaborating with vendors and provider ... to retrieve medical records. Supports other initiatives related to Risk Adjustment Programs (RAPS) and Healthcare Effectiveness...Informatics in planning and delivery of reports to close coding and care gaps and improve member outcomes. .… more
- Trinity Health (Columbus, OH)
- …Ohio Insurance License (Life and Health) or obtained within 90 days of hire. Risk Adjustment department: None + Experience: One to three years experience ... and do the right thing. **Position Purpose:** The Operations Resolution Specialist researches, analyzes, documents, and coordinates the resolution of escalated… more