- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment ... and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health...(II), and HCPCS coding systems required + Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter ... Expert (SME) for risk adjustment with contracted IPAs + Collaborating...experience * Knowledge of HIPAA regulations * Knowledge of Medicare Advantage , STARS/HEDIS program, and NCQA technical… more
- LA Care Health Plan (Los Angeles, CA)
- …Knowledge of managed care and health care claims Knowledge of Risk Adjustment models (eg CMS Medicare Advantage , HHS-HCC, Medicaid DxCG) Extensive ... adjustment and quality improvement programs. Analytics experience with Medicare Advantage , Medicare Fee-For-Service (FFS), Multipurpose Senior Services… more