- Emanate Health (Covina, CA)
- …**J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Coding Auditor II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Risk Adjustment Coding Auditor II... Coder (CRC) Certified Professional Coder (CPC) OR Certified Coding Specialist -Physician (CCS-P) Licenses/Certifications Preferred And/Or any… more
- HCA Healthcare (Campbell, CA)
- …colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in an ... join our team as a Director of Quality and Risk Adjustment . We care for our communities...Required + Experience using Cozeva Required + Certified HCC Coding Specialist Required + Certified Professional Coder… more
- Sutter Health (Burlingame, CA)
- … Coder + OR CPC-Certified Professional Coder + OR CCS-Certified Coding Specialist + CRC-Certified Risk Adjustment Coder (required within 1 year) ... knowledge of ICD-10 diagnosis coding conventions and requirements. + Knowledge of HCC/ Risk Adjustment coding . + Knowledge of CPT and HCPCS coding … 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 ... Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk … more
- Amazon (Hawthorne, CA)
- …(Amazon's subsidiary) Security team is growing and looking for a highly motivated security risk & compliance specialist to join our team and drive regulatory ... audit executions. You should be a technically experienced and innovative security, risk , compliance, and audit professional who has the ability to understand… more
- Datavant (Sacramento, CA)
- …skills. **Desired Qualifications:** + Familiarity with healthcare billing for payers, risk adjustment , and value-based reimbursement. + Experience collaborating ... vision for healthcare. **Role Summary** The Payer Billing & Collections Specialist is responsible for managing day-to-day billing, reconciliation, and collections… more
- Scripps Health (San Diego, CA)
- …of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency and experience in ... Administrator) o RHIT (Registered Health Information Technician) o CCS (Certified Coding Specialist ) o CPC (Certified Professional Coder) * Comprehensive… more
