- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …a strong background in medical records coding and quality assurance? Risk Adjustment is looking for a **Supervisor** to lead a dynamic team dedicated ... to accuracy and compliance in risk adjustment coding\. **About the Team:** This... records from provider offices and supervise the medical record quality review process\. + Ensure… more
- Mount Sinai Health System (New York, NY)
- …(2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing ... Mount Sinai Health System is seeking a Senior Medical Director of Quality and Patient Engagement. The...population health goals including access, quality, utilization and accurate risk adjustment with a group of practices… more
- MASC Medical Recruitment Firm (Sarasota, FL)
- …Full Support Staff CME Allowance DEA & State License Paid Training on accurate risk adjustment coding Training on Medicare appropriate quality of care (STARS) ... a comprehensive and coordinated plan of care that takes into account information from medical records , the patients and their families as well as Primary Care… more
- MASC Medical Recruitment Firm (North Port, FL)
- …Full Support Staff CME Allowance DEA & State License Paid Training on accurate risk adjustment coding Training on Medicare appropriate quality of care (STARS) ... a comprehensive and coordinated plan of care that takes into account information from medical records , the patients and their families as well as Primary Care… more
- Progress Rail Services Corp. (La Grange, IL)
- …Project Controls, encompassing not just scheduling but also cost tracking, risk management, and incremental work documentation. As the scheduling function continues ... risks. - Contribute to defining project controls processes, including scheduling, cost, and risk elements. Executing - Act as a tactical partner to the Project… more
- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... CA lines of business. Coding specialist will be responsible to review medical records and claims data to ensure external physicians are documenting correctly and… more
- Allegis Global Solutions (Hanover, MD)
- …of AllegisPay at the program level during implementation. + Proven track record in scaling technology and leveraging automation to create efficient business ... MSP and RPO customers and program teams + Appropriate risk management skills + Strong knowledge of the staffing...terms. This role is eligible for the following: + Medical , dental, & vision + 401(k)/Roth + Insurance (Basic/Supplemental… more
- Florida Atlantic University (Boca Raton, FL)
- …delivery, logistical support, and space readiness. + Maintain accurate records and documentation of building systems, maintenance history, custodial schedules, ... + Support the Facilities Budget Office in the development, monitoring, and adjustment of the operational budget, expenditures and billing rates, including preparing… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The ** Risk Adjustment & Quality Division at BCBST** is seeking a skilled ** Risk Adjustment Medical Record Coder** to support our mission of ... this role, you will perform first\-pass reviews of member medical records to identify and capture active...accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder\) certification is a plus\.… more
- Ascension Health (Elk Grove Village, IL)
- …**Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and ... mid-level providers to address the need for more detailed information in the medical record . + Collaborate with healthcare professionals to ensure the severity… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... (RADV) audit and any other chart coding functions, by performing moderately complex medical record review and coding, ensuring compliance with all applicable… more
- Ankura (New York, NY)
- …investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice ... Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects...with RADV Audit responses including managing the collection of medical records , overseeing the selection of … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career ... join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at...CMS RADV audits, including retrieval and coding of targeted medical records . * Design and implement QA… more
- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... oversight. Reviews medical records...complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical… more
- Elevance Health (West Des Moines, IA)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - 2 days ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Avera (Sioux Falls, SD)
- …where you matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information ... Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with...The QRA Specialist will be responsible for ensuring that medical records for identified members are retrieved,… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... processing. Duties also include abstracting and validating data from medical records and providing education on documentation...+ **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not… more
- Wolters Kluwer (Austin, TX)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...role covers all new business, w/ a proven track record of success in sales. **Key Tasks: ** +… more
- Datavant (Topeka, KS)
- …for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines… more
- Good Samaritan (Sioux Falls, SD)
- …ensure all aspects of workflow are completed. Will review the risk score adjustment information for medical chart record requests and potential ... Experience and knowledge of accreditation and regulatory agency standards preferred. Quality, medical coding, and/or risk adjustment experience is preferred.… more
