- Datavant (Tallahassee, FL)
- …life experiences to realize 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,… more
- Evolent (Tallahassee, FL)
- …ensuring every team member contributes to providing better health outcomes for the population. The Risk Adjustment Coding Manager plays a crucial role in ... , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk … more
- ChenMed (Miami, FL)
- …laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical ... we need great people to join our team. The Risk Adjustment Coder works in a collaborative...+ Coding Certificate required. APPC or AHIMA coding certified preferred. + CRC (certified risk … more
- Datavant (Tallahassee, FL)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... + Monitor the performance of the Risk Adjustment Operations both internally and with coding ...work experience coder with a minimum of 5 year's coding experience in risk adjustment … more
- CenterWell (Tallahassee, FL)
- …make an impact** **Required Qualifications** + A minimum of three years of technical Medical Coding , focused on outpatient ( risk adjustment ) coding . + ... manipulates database. Responds to or clarifies internal requests for coding and/or documentation related information. Understands department, segment, and… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more
- Datavant (Tallahassee, FL)
- …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... realize our bold vision for healthcare. The Client Success Manager is part of the Datavant organization and is...between internal resources and clients in support of custom risk adjustment projects and reports on project… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics strategy through… more
- Molina Healthcare (Orlando, FL)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...(APC's), and other payment mechanisms. * Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing… more
- Elevance Health (Tampa, FL)
- …and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end ... services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the...of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination… more
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