- Datavant (Sacramento, CA)
- …mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse ... in Business, Operations Management, or a related field; MBA or equivalent advanced degree preferred . + At least 8 to 10 years of experience in healthcare technology… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk Adjustment … more
- Evolent (Sacramento, CA)
- …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...problem-solving skills, and proficiency in clinical documentation requirements. **Qualifications Preferred :** + Clinical knowledge of chronic conditions and comorbidities.… more
- Datavant (Sacramento, CA)
- …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
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and ... documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will: + Conduct medical record audits for… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department ... as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: $78,500 -… more
- Stanford Health Care (Palo Alto, CA)
- …. + Experience with Vizient, Premier, Elixhauser and other risk adjustment methodologies, highly preferred . **Required Knowledge, Skills and Abilities** ... and analysis experience. + ICU/ED and Academic Medical Center experience preferred . + Case management, utilization review and/or direct provider interaction… more
- Sharp HealthCare (San Diego, CA)
- …(CCS) - The American Health Information Management Association (AHIMA) -REQUIRED ** Preferred Qualifications** + Certified Risk Adjustment Coder (CRC) - ... - The American Health Information Management Association (AHIMA); Certified Risk Adjustment Coder (CRC) - American Academy of Professional Coders (AAPC) **Hours**… more
- Evolent (Sacramento, CA)
- …systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + **Experience with ... outcomes + **5+ years of hands-on experience** implementing HL7 FHIR (R4 preferred ) in complex healthcare environments + **Expert knowledge** of healthcare standards… more
- CVS Health (Sacramento, CA)
- … Adjustment Coder) required within the first six months. ** Preferred Qualifications** + Computer proficiency including experience with Microsoft Office products ... Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in...and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more