- Morehouse School Of Medicine (Atlanta, GA)
- …Postdoctoral Fellow will assess the incidence and prevalence of cancer risks for HCC patients at county levels to determine the disparities based on race/ethnicity ... will conduct a data warehouse (DW) for cancer and HCC by utilizing publicly available data sources and data...(EHRs) at MSM and Establish the clinical significance of HCC -related genes. The postdoctoral fellow is expected to… more
- CVS Health (Atlanta, GA)
- …Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. **Preferred Qualifications** + Computer proficiency including experience ... Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Expertise in medical documentation, fraud, abuse and… more
- CVS Health (Atlanta, GA)
- …Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Completion of AAPC/AHIMA training program for core ... Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) required. + Expertise in medical documentation, fraud, abuse and… more
- Fujifilm (Atlanta, GA)
- …community. Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers sales through that community. As assigned interface with ... product(s) being promoted. + Volume of business (eg, OLT per year, number of HCC cases diagnosed per year, number of hepatologists). + Adheres to company and… more
- Datavant (Atlanta, GA)
- …understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC ), and code sets / clinical vocabularies (ICD, ... LOINC, RxNorm). + Expertise in healthcare interoperability standards (FHIR, HL7, CCD, Direct Messaging) and experience delivering API-driven, cross-platform solutions. + Demonstrated ability to define strategy, lead cross-functional execution, and manage… more
- J&J Family of Companies (Atlanta, GA)
- …with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding education and insights on ... access and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion… more
- J&J Family of Companies (Macon, GA)
- …with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC , and PECS. Serve as subject matter expert regarding education and insights on ... access and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion… more
- Vatica Health (Alpharetta, GA)
- …with distributed teams + Strong understanding of risk adjustment ( HCC coding), HEDIS/Stars measures, and quality improvement programs Competencies: Business ... Insight & Organizational Savvy + Aligns tasks and initiatives with company priorities, translating goals into actionable plans with clear milestones. + Navigates organizational dynamics effectively, engaging key stakeholders and leveraging resources to develop… more
- Molina Healthcare (Atlanta, GA)
- …Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model + Background in supporting ... risk adjustment management activities and clinical informatics + Experience with Risk Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer - Payer (CPC-P) +… more
- Elevance Health (Atlanta, GA)
- …a minimum of 5 years of related experience, including 3 years of hands-on HCC coding, chart review, and RAF calculations; or any combination of education and ... experience which would provide an equivalent background. + Requires experience using RADV protocols and following Center for Medicare and Medicaid Services (CMS) and Affordable Care Act (ACA) rules. **Preferred Skills, Capabilities, and Experience:** +… more