- Evolent (Richmond, VA)
- …Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk ... Adjustment Coding Support team. Evolent Care Partners' mission is...a passion for improving healthcare. **Collaboration Opportunities:** Our Risk Adjustment coding support team offers candidates the opportunity to… more
- Datavant (Richmond, VA)
- …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution for the ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage… more
- Datavant (Richmond, VA)
- …our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for ... Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations,...for the Data Integration pod within the Retrospective Risk Adjustment Coding Product Suite + **Execution & Delivery** +… more
- Datavant (Richmond, VA)
- …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment 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 play a critical role in… more
- Datavant (Richmond, VA)
- …a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in ... translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for… more
- Datavant (Richmond, VA)
- …serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, ... process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. **You will:** + Supervise day-to-day team… more
- Datavant (Richmond, VA)
- …a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in ... translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work. **What You Will Do:** + Audit coded charts assigned by quality supervisor per the client… more
- Datavant (Richmond, VA)
- …mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse team of ... Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without… more
- CVS Health (Richmond, VA)
- …team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ensuring coding accuracy and ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
- Datavant (Richmond, VA)
- …individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations ... and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors +...a minimum of 5 year's coding experience in risk adjustment both ACA and MA. + Expert knowledge of… more