- Datavant (Albany, NY)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- WelbeHealth (Albany, NY)
- …education and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with… more
- CVS Health (Albany, NY)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with… more
- Molina Healthcare (Yonkers, NY)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. +...be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more
- New York State Civil Service (Albany, NY)
- …desk-based and onsite exams, horizontal thematic reviews) work of assigned higher- risk Banking and Insurance chartered institutions and other DFS-regulated entities, ... developments in cybersecurity, blockchain, and other emerging technologies;* Conducts risk -based assessments of Licensees, including evaluations of cybersecurity and… more
- WMCHealth (Valhalla, NY)
- …Applicant link Job Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding. Specific duties ... setting with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification (CPC), Certified Professional Medical… more