- Evolent (Helena, MT)
- …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. Evolent Care Partners' mission is...a passion for improving healthcare. **Collaboration Opportunities:** Our Risk Adjustment coding support team offers candidates the opportunity to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you, we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making and ... to ensure accurate diagnosis coding. This position is responsible for risk adjustment coding and quality assurance validation for the following programs, including… more
- Tufts Medicine (Burlington, MA)
- …Boston region. **Job Overview** Under the director of the Director, Risk Adjustment Operations, performs accurate and timely reviews and validations of Medicare, ... both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position has extensive knowledge of overall ICD-10-CM coding… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Adjustment Auditor Educator** -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding...ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits with analysis of trends, and… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician facing position and must have extensive knowledge ... - allowing a CRC to understand the impact of diagnosis coding on risk adjustment payment models. Understand the audit process for risk adjustment models. Ability… more
- University of Utah Health (Murray, UT)
- …integrity, quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's risk adjustment ... + This role is responsible for analyzing medical claims, encounter, and risk adjustment targeting data to identify opportunities for accurate and complete risk score… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete and accurate ... a key strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive leaders of Risk Adjustment … more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in...III provides a key leadership role in the Risk Adjustment Department by independently determining and recommending the source/type… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Director, Risk Adjustment oversees the outcomes and operations of risk adjustment across the organization within ... Medicare Advantage, Medicaid & ACA markets. The Risk Adjustment Director is responsible for strategic direction, leadership, establishing and maturing key function,… more
- Commonwealth Care Alliance (Boston, MA)
- …of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and maintenance of ... systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category (HCC) revenue programs. This position ensures… more
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