- Corewell Health (Grand Rapids, MI)
- …and/or Certification in area of specialty - UNKNOWN Unknown CRC, AAPC Certified Risk Adjustment Coder preferred Physical Demands + Pallet to Waist (6" from ... Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the...finance, accounting or business management or related field. + Preferred Master's Degree in a related field of study.… more
- Tufts Medicine (Burlington, MA)
- …Coder (CPC). 2. Two (2) years of outpatient billing, coding, and risk adjustment experience, . ** Preferred Qualifications:** 1. Associate's degree. 2. Certified ... **Job Overview** Under the director of the Director, Risk Adjustment Operations, performs accurate and timely reviews and validations...Risk Adjustment Coder (CRC) highly preferred . 3. Two (2) years of outpatient billing, coding,… more
- Datavant (Honolulu, HI)
- …mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse ... in Business, Operations Management, or a related field; MBA or equivalent advanced degree preferred . + At least 8 to 10 years of experience in healthcare technology… more
- Corewell Health (Grand Rapids, MI)
- …analyst in the health insurance industry + 5 years of relevant experience in Risk Adjustment Analytical role Preferred + 2 years of relevant experience in a ... for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager, Risk Adjustment Analytics will be responsible for leading the Risk … more
- Marshfield Clinic (Marshfield, WI)
- …and/or American Academy of Professional Coders - Certified Risk Adjustment Coder certification. ** Preferred /Optional:** None **Marshfield Clinic Health ... most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Director (Remote/Hybrid) **Cost Center:** 682891390 SHP-Strategic Finance **Scheduled… more
- Centene Corporation (Tallahassee, FL)
- … adjustment and/or compliance required + Previous experience in risk adjustment oversight and/or coding planning preferred + Demonstrated understanding of ... risk adjustment regulatory landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range:… more
- Commonwealth Care Alliance (Boston, MA)
- …including claims, encounters, diagnoses, and provider data. + Familiarity with CMS risk adjustment methodologies and HCC coding preferred . + Experience with data ... of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and maintenance of… more
- Hartford HealthCare (Hartford, CT)
- …strongly desired. * Experience with the nuances of diagnosis coding and risk adjustment programs preferred * Progressively responsible role with leadership * ... - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within 6 months of hire) _We take great care… more
- Highmark Health (Pittsburgh, PA)
- …**LICENSES AND CERTIFICATIONS** **Required** + AAPC, Certified Professional Coder (CPC) ** Preferred ** + AAPC, Certified Risk Adjustment Coder (CRC) **SKILLS** ... Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable guidelines, regulations and laws established… more
- Elevance Health (Miami, FL)
- …. ** Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred .** + Expert level knowledge of ICD-10 CM, CMS ... guidelines including Risk Adjustment payment model, STARS and HEDIS highly preferred . + Clinical review experience. Please be advised that Elevance Health only… more