- CenterWell (Arlington, TX)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and...as a team + Ensure clinicians effectively co-manage high risk episodes of care and patients with partnered Care… more
- CenterWell (Corpus Christi, TX)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... and coaching initiatives are precise *Identify critical issues for high- risk patients during case reviews & other forums, and...care as a team *Ensure clinicians effectively co-manage high risk episodes of care and patients with partnered Care… more
- Molina Healthcare (Dallas, TX)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... (APC's), and other payment mechanisms. * Advanced understanding of value-based risk arrangements * Advanced experience in quantifying, measuring, and analyzing… more
- Molina Healthcare (TX)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... (APC's), and other payment mechanisms. * Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing financial,… more
- CVS Health (Austin, TX)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient in abstraction and assignment of… more
- Humana (Austin, TX)
- …**Preferred Qualifications** + Bachelor's degree in business administration/information systems + Medicare Risk Adjustment background and knowledge. + 1 or more ... years of experience in SQL, databricks, or Power BI + Experience in designing, developing, and maintaining visually appealing reports and dashboards in Power Bi, Microsoft PowerPoint, or similar applications. + Automation experience. + Proficiency in… more
- UTMB Health (Galveston, TX)
- …- Certified Professional Coder - Apprentice (AAPC) _or_ + CRC - Certified Risk Adjustment Coder (AAPC) **JOB SUMMARY:** Properly codes and/or audits professional ... services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers. **ESSENTIAL JOB FUNCTIONS:** + Reviews documentation in EPIC and/or on… more
- Ascension Health (Austin, TX)
- …years Medical Coding experience with at least 2 years specific to Medicare Risk Adjustment /HCC Coding required. + ICD-10 coding experience required. + Experience ... with educating/training/delivering feedback to medical providers preferred. + Experience with auditing medical records preferred. + Electronic Healthcare Record (EHR) and Population Health platform/solutions experience (athena, Cerner, Innovaccer, Arcadia,… more
- UTMB Health (Galveston, TX)
- …Coder - Apprentice American Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) *One of the ... above certifications is required. **Job Summary/Description:** Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal… more
- HCA Healthcare (Houston, TX)
- …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. **Benefits** HCA Healthcare offers a… more