- Datavant (Tallahassee, FL)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data ... strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving...in collaboration with the Retrieval Product team to streamline chart access for Retrospective Coding Products. Build… more
- Datavant (Tallahassee, FL)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...plus the option to earn up to $3.25 per chart based on quality and production.** To ensure the… more
- Molina Healthcare (Jacksonville, FL)
- …Association** * Certified Professional in Health Quality (CPHQ) * Nursing License * Certified Risk Adjustment Coding (CRC) To all current Molina employees: ... These functions include, but may not be limited to: chart retrieval strategy, risk adjustment ...not be limited to: chart retrieval strategy, risk adjustment retrieval performance, process effectiveness, market… more
- Molina Healthcare (Jacksonville, FL)
- …Risk Adjustment , is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment , RADV, or Risk ... audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan...healthcare, including at least 4 years in health plan Risk Adjustment or clinical data acquisition/ chart… more
- Insight Global (Tampa, FL)
- …Skills and Requirements Active CPC or CCS 3-5 years of HCC/ Risk Adjustment coding experience Concurrent coding ... through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs...chart types. Outpatient Including all specialties acceptable for risk adjustment . Common specialties include, but not… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... Documentation Integrity Specialist (QI-CDIS) responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation… more
- CenterWell (Tallahassee, FL)
- …more years of experience as a certified medical coder + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + Standard ... and HCPCS standards. This position utilizes GenAI and advanced coding tools to perform efficient chart reviews,...and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory guidelines, and optimize… more