- 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
- Quarterra (Oswego, IL)
- …requested by Service Supervisor and/or Community Manager and assist with the make-ready specialist in the turn process. Change all locks in accordance with the ... complaints about maintenance services. Comply with the company's safety and risk -management policies by attending and participating in the community's routine safety… more
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Professional + Employment Type: ... Requirements: None Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS- ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior coding… more
- Fallon Health (Worcester, MA)
- …on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details and ... from start to end + Collect documentation feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan ... abstracting and validating data from medical records, and providing education on documentation to support HCCs. **Position Details:** This...+ Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not… more
- VNS Health (Manhattan, NY)
- …Professional Coder (CPC), Certified Coding Specialist (CCS), or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required + License and current ... OverviewAs the Clinical Manager for Risk Adjustment , you will be at...summarizes data from medical records into various formats; coordinates education and feedback to providers. + Keeps abreast of… more
- Apex Health Solutions (Houston, TX)
- …cadence to enrich the overall member experience. Essential Duties and Responsibilities: Risk Adjustment Coder is responsible for reviewing, abstracting, and ... inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Follows CMS Risk Adjustment … more
- Baylor Scott & White Health (Columbus, OH)
- …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...vary based upon position type and/or level **QUALIFICATIONS** + EDUCATION - Associate's or 2 years of work experience… more
- Centene Corporation (Tallahassee, FL)
- …using the most current International Classification of Diseases, (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or ... a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete...external audits. + Complies with all policies and standards ** Education /Experience:** Required A High School or GED **Preferred A… more
- Centene Corporation (Tallahassee, FL)
- …Certified Coding Specialist (CCS)** **Preferred Skills:** Experience with Risk Adjustment coding Comfortable utilizing Microsoft 365 (Word, Excel, ... a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete...assigned. + Complies with all policies and standards **Required Education :** High School or GED Preferred: Bachelor's Degree in… more
- SSM Health (MO)
- …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... our mission is what sets us apart. The Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- Summary This Peer Specialist position may only be filled with a Veteran that meets statutory requirements that are detailed in the qualifications section. ... Responsibilities The Peer Specialist functions as an interdisciplinary team member, assisting physicians and other professional/non-professional personnel in a… more
- VNS Health (Manhattan, NY)
- …Coder (CPC) or Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required. required Active Certified Coder ... healthcare field? We are seeking a skilled Home Coding Specialist to review and audit claims, ensuring they meet...issues; makes coding and documentation recommendations for adherence to risk adjustment models. + Reviews medical documentation… more
- Mendocino County Sheriff's Office (CA)
- …setting as a specialist in the fields of physical restoration, social adjustment or vocational adjustment . Up to two (2) years of graduate professional ... Mental Health Rehabilitation Specialist Print (https://www.governmentjobs.com/careers/mendocinoca/jobs/newprint/4654397) Apply Mental Health Rehabilitation … more
- Intermountain Health (Las Vegas, NV)
- …leaders, physicians, advanced practice providers (APP), and other staff about documentation and risk adjustment in order to improve the accuracy of the overall ... mentor to leaders, physicians, APP's, and other staff about documentation and risk adjustment . + Reviews medical records documentation for reimbursement,… more
- State of Connecticut, Department of Administrative Services (Stamford, CT)
- Recovery Support Specialist Trainee (32 Hour) (Part-Time) Office/On-Site Recruitment # 240912-5728HN-002 Location Stamford, CT Date Opened 9/13/2024 12:00:00 AM ... + + + + Introduction Do you possess certification as a Recovery Support Specialist ? Do you have a passion for inspiring others through sharing your story of… more
- Clark County, NV (Las Vegas, NV)
- SENIOR FAMILY SERVICES SPECIALIST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4631856) Apply SENIOR FAMILY SERVICES SPECIALIST ... is seeking qualified candidate to apply for the Senior Family Services Specialist Position. This position performs a variety of professional casework duties, to… more
- Pacificorp (Portland, OR)
- Net Power Cost Analyst (Assoc./Mid /Senior/ Specialist ) Portland, OR - 112615 **Date:** Sep 12, 2024 **Location:** PORTLAND, OR, US, 97232 **Company:** PacifiCorp ... Prepare net power cost regulatory filings, including general rate cases, transition adjustment mechanisms, power cost adjustment mechanisms, and avoided cost… more
- Bristol Myers Squibb (Bothell, WA)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Specialist for the QA Sterility Assurance group is an individual contributor ... EM investigation program, support for contamination events, and quality risk assessments. **Duties/Responsibilities** + Quality oversight and support for programs… more
