- Evolent (Harrisburg, PA)
- …Adjustment coding team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment coding support ... and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. +… more
- UPMC (Pittsburgh, PA)
- …Work closely with legal services, clinical staff and administration to define risk and liability management at the business unit level. Responsible for ... Division Chief Legal Officer & VP Compliance, Quality and Risk Management and the Risk ...units of the UPMC. Plan, develop, and monitor all clinical program management functions in conjunction with… more
- Highmark Health (Pittsburgh, PA)
- …record documentation and coding. Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support provider ... Builds strong partnerships with Highmark cross-functional teams including Care Management , STARS, Compliance, clinical leadership of health...the Healthcare Industry + 5 - 7 years in Management + 5 - 7 years in Risk… more
- Cardinal Health (Harrisburg, PA)
- …IT Governance, Risk and Compliance functional roles such as IT Compliance, IT Risk Management , IT Audit, Enterprise Risk Management , etc preferred. ... virus management and intrusion detection as well as completes risk assessments. The IT Governance and Compliance function within the organization develops,… more
- Datavant (Harrisburg, PA)
- …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
- Geisinger (Danville, PA)
- …other clinical professional on documentation relevant to the Revenue Management processes and Discharge Not Final Billed reduction. Provides daily interactions ... will, through ongoing education, support the improvement and continue to sustain clinical documentation related to relative patient acuity, risk reduction, ad… more
- Datavant (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- Geisinger (Danville, PA)
- …other clinical professional on documentation relevant to the Revenue Management processes and Discharge Not Final Billed reduction. Provides daily interactions ... is a work on site position located in Danville, Pennsylvania. The Clinical Documentation Improvement Program (CDI) is designed to improve the physician's… more
- WellSpan Health (New Holland, PA)
- …8:00a - 4:30p No weekends/holidays **General Summary** Functions as part of the management team, performing a variety of clinical and administrative duties ... related to clinical staff management and patient care. Duties may include quality monitoring,...the Medical Assistant and Physician Office Nurse. + Monitors Risk and Safety Management Alert System (RASMAS)… more