- Datavant (Olympia, WA)
- …and understanding of HCC mapping and models + Experience with coding Medicare , Commercial and Medicaid risk adjustment charts + Understanding of ... Medicare , Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding of health insurance plans operations + Deep… more
- CenterWell (Olympia, WA)
- …clinical documentation. + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA...up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions.… more
- Humana (Olympia, WA)
- …a focus on learning strategies and adult learning theories + Working knowledge of Medicare Risk Adjustment and/or Stars + Experience using Articulate ... community and help us put health first** Certified Medical Coding Instructor (CPC-I): This is a Senior Learning Design...Information This role will be responsible for supporting the Medicare Risk Adjustment Team within… more
- University of Washington (Seattle, WA)
- …the direction of CDP leadership to ensure high quality standards are met for risk adjustment , DRG accuracy, SOI and ROM. **DEPARTMENT DESCRIPTION** The Clinical ... including, but not limited to, CC/MCC capture rate and/or risk adjustment review and will be clarified...rendered to all patients using a DRG based payer ( Medicare ) methodology. + Verifies the accuracy and completeness of… more
- Molina Healthcare (Everett, WA)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), + Diagnosis Related Groups ... lead to value + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job...and other payment mechanisms. * + Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing… more
- Molina Healthcare (Tacoma, WA)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required… more