- Ankura (Los Angeles, CA)
- …investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. +… more
- Datavant (Sacramento, CA)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a ... deep understanding of the Risk Adjustment business domain and is skilled at data modeling and analysis and identifying and communicating insights to… more
- Wolters Kluwer (Sacramento, CA)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... the Eastern or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space, experience with Payer, Provider, and Vendor,… more
- Datavant (Sacramento, CA)
- …Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality ... of employees' work, process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. **You will:** + Supervise… more
- Datavant (Sacramento, CA)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + Review, analyze, and code diagnostic information in a patient's medical record based on client specific… more
- Datavant (Sacramento, CA)
- …skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $27-$30 USD To ensure the safety of patients and ... staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and… more
- Datavant (Sacramento, CA)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... + Serve as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care operations. + Liaison account management… more
- Highmark Health (Sacramento, CA)
- …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk … more
- Ankura (Los Angeles, CA)
- …assessment. + Apply innovative techniques to healthcare engagements including those related to Risk Adjustment . + Expand and build new products in a ... an Industry thought leader in healthcare topics like predictive analytic applications, risk adjustment , and value-based care. + Develop, supervise, and motivate… more
- Deloitte (Los Angeles, CA)
- …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