- Evolent (Harrisburg, PA)
- …Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of ... the Risk Adjustment Coding Support team....achievement of OKRs and assigned initiatives. + Conducts monthly chart and phone audits for individual team members, providing… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and ... documentation deficiencies to providers to improve documentation for accurate risk adjustment coding . Knowledge of...has a knowledge of how to read a medical chart and assign the correct diagnosis (ICD-10-CM) codes for… more
- Datavant (Harrisburg, PA)
- …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. +… more
- Highmark Health (Pittsburgh, PA)
- …+ Production Coding : Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding ... for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable...coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support… more
- Datavant (Harrisburg, PA)
- …on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent ... complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS-HCC,… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor/Analyst position in the Medicare department. This is a full time position ... The Clinical Auditor/Analyst is an integral part of the Risk Adjustment Department and is responsible for...are supported within the audit year, and utilize AHA Coding clinics, ICD-10-CM Coding Guidelines, CPT … more
- Datavant (Harrisburg, PA)
- …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.** We are committed… more
- WelbeHealth (Harrisburg, PA)
- …and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... Care for the Elderly) Dual participants + Conduct pre-visit chart preparations and post-visit chart reviews +...in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work… more
- Geisinger (Danville, PA)
- …One of the following certifications is needed at time of hire: Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC) Registered ... Job Summary Health information coding is the transformation of verbal descriptions of...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of… more
- UPMC (Pittsburgh, PA)
- …Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment , coding , and clinical documentation improvement. + ... and documentation guidelines. + Analyze medical record documentation and coding through a chart review process that...reports to providers that summarize their performance related to coding and documentation and risk adjustment… more