- CenterWell (Orlando, FL)
- …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
- 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 ...teams to improve productivity and quality.** + Run various risk adjustment models for Medicare … more
- Highmark Health (Tallahassee, FL)
- …terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) ... to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare ...leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all… more
- Humana (Miramar Beach, FL)
- …+ Experience with public speaking and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional Information** Work at ... Coder) Certification + 4 or more years of medical coding experience + Risk Adjustment ...recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years.… 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 ... credential (CCS, or equivalent) or AAPC CPC certification + Strong understanding of risk adjustment , HCC coding , value-based care, and preventive/chronic… more
- Humana (Tallahassee, FL)
- …(CRC) + Experience interacting with healthcare providers + Ability to work independently + Medicare Risk Adjustment knowledge + Analyzing data to build ... + 2 or more years of risk adjustment provider education + Familiar with coding ...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… 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
- 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 ... informatics RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge… more
- Humana (Hollywood, FL)
- …community and help us put health first** The Medical Record Retrieval Specialist ( Risk Adjustment Representative) travels to provider offices within the region ... a secure system. The records are reviewed by Humana's Coding staff. * Live in North Miami/Dade County, South...and other surrounding counties The Medical Record Retrieval Representative ( Risk Adjustment Representative): + Travel up to… more
- Humana (Coral Springs, FL)
- …are reviewed by Humana's Coding staff. The Medical Record Retrieval Representative ( Risk Adjustment Representative): + Travels up to 75% of the time, and ... put health first** Job Description Summary The Medical Record Retrieval Specialist ( Risk Adjustment Representative) travels to provider offices within the region… more