- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... findings of secondary reviews to respective Clinical Documentation Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI … more
- Hawaii Pacific Health (Honolulu, HI)
- …experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous ... advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement ( CDI ). EOE/AA/Disabled/Vets Hawai'i… more
- Mayo Clinic (Rochester, MN)
- …!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo ... (CRC) certification to ensure accurate capture in inpatient documentation, supporting risk adjustment and value-based care initiatives. Reviews clinical records… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a strong understanding of case mix index, MCC/CC capture, the severity of illness/ risk of mortality, LOS, risk adjustment diagnoses. * Participate ... Vice President, Mid-Revenue Cycle, the Director of Clinical Document Improvement ( CDI ) is primarily responsible for managing all employees and activities within… 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 ... accurate and complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical documentation gaps, assesses… more
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid ... Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid. **Requirements** Licensure / Certification / Registration: +… more
- Bluestone Physician Services (Stillwater, MN)
- …thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play ... join our team as a Part-Time Clinical Documentation Improvement ( CDI ) Specialist . The primary responsibility of...charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with… more
- Deloitte (Los Angeles, CA)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk … more
- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... role in facilitating long-term success of Clinical Documentation Integrity ( CDI ) by providing day-to-day oversight of the program. They...capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. .… more
- SSM Health (MO)
- …integrity and mortality scoring. + Collaborates with others regardingclinical documentation improvement ( CDI ) and risk adjustment (mortality) findings. + ... membersregarding opportunities for improvement in standard work. + Maintainsdocumentation, logsadjusted risk and CDI opportunities. + Applies the existing body… more
- Trinity Health (Livonia, MI)
- …system, revenue cycle or consulting experience. + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity ( CDI ), Certified Clinical ... outpatient reimbursement models, & the impact of provider documentation & HCC risk adjustment , ensuring compliance with reporting standards for claims… more
- Scripps Health (San Diego, CA)
- …of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency and experience ... and operational oversight for systemwide Coding, Clinical Documentation Integrity ( CDI ), and Health Information Management (HIM), encompassing both hospital and… more
- CenterWell (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...to lead clinical documentation improvement efforts; manages the divisional CDI specialist . + Facilitate meetings with key… more
- Trinity Health (Livonia, MI)
- …integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity ( CDI ), Certified ... Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience + Ambulatory or… more