- Datavant (Tallahassee, FL)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of...from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the … more
- Datavant (Tallahassee, FL)
- …Experience in building queries to collect and interpret raw data from databases to support risk adjustment coding and medical record + Experience in using ... and aggregate data from multiple data sources for supporting risk adjustment medical record coding ...train other junior analysts in support of their direct manager What you will bring to the table: +… more
- HCA Healthcare (Fort Lauderdale, FL)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the… more
- CenterWell (Orlando, FL)
- … Curriculums. In this role, you'll blend your clinical expertise-especially in Medicare Risk Adjustment (MRA) and HCC coding -with instructional design skills ... + Design and develop provider education programs focused on clinical documentation, risk adjustment , and coding accuracy for value-based primary… more
- CenterWell (Tampa, FL)
- …in a value-based primary care setting. This role uses clinical expertise and knowledge of risk adjustment and coding to present educational materials in a ... equivalent) or AAPC CPC certification + Strong understanding of risk adjustment , HCC coding , value-based...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Tallahassee, FL)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- Elevance Health (Tampa, FL)
- …data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** ... **JR171732 Coding Auditor Sr** CareBridge Health is a proud...project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates… more
- Molina Healthcare (Tampa, 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
- Deloitte (Tampa, FL)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk … more
- CenterWell (Tallahassee, FL)
- …more years of experience as a certified medical coder + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + Standard ... ICD-10-CM, CPT, and HCPCS standards. This position utilizes GenAI and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory… more