- Molina Healthcare (Syracuse, NY)
- …(Hierarchical Condition Categories) Risk Adjustment Model + Background in supporting risk adjustment management activities and clinical informatics + ... codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside… more
- Molina Healthcare (Yonkers, NY)
- …provider engagement or payer-provider program management . + Familiarity with clinical , quality, or risk adjustment program workflows. + Proficiency with ... The **Program Manager - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program management ,… more
- National Health Care Associates (Melville, NY)
- …3+ yearsof hands-on experience in a long-term care setting + 2+ yearsof experience in risk management and QAPI roles + Compassion for elderly and chronically ill ... our long-term care community. You'll lead efforts to minimize risk , ensure regulatory compliance, and foster a culture of...at the center of everything you do. + Review clinical documentation and care processes to ensure that residents… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis ... coding of risk adjustment eligible members. This position will have responsibility...Excel, Outlook and PowerPoint is required. + Experience with Clinical Documentation Improvement preferred. + Demonstrated knowledge of medical… more
- Datavant (Albany, NY)
- …life 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
- Mount Sinai Health System (New York, NY)
- …precautions patient populations, constant observation and patient restraints review, risk management activities identifying and communicating issues of ... with all clinical institutes ie, Critical Care Institute, in the management of critical care patient throughput throughout the Mount Sinai Health System. 9.… more
- Regeneron Pharmaceuticals (Armonk, NY)
- …+ Oversees set-up and maintenance of study systems including but not limited to Clinical Trial Management System (CTMS), Trial Master File (TMF) etc. + Ensures ... + Provides input into baseline timeline development and management + Leads risk assessment and identifies...to study level lessons learned + Assigns tasks to Clinical Study Management staff and supports their… more
- Datavant (Albany, NY)
- …using 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...ability to work in a remote environment, and time management skills. + Working knowledge of the business use… more
- Datavant (Albany, NY)
- …in 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...ability to work in a remote environment and time management skills + Working knowledge of the business use… more