- Excellus BlueCross BlueShield (Rochester, NY)
- …* Serves as a coordinator and key business resource for the Risk Adjustment Coding Coordination Team . * Conducts reviews and audits utilizing knowledge and ... ICD-9-CM/ICD-10-CM coding , Medicare Advantage and Commercial Hierarchical Condition Category ( HCC ) coding , and Medicaid Clinical Risk Groups (CRGs) to ensure… more
- CareFirst (Baltimore, MD)
- …expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Associate's ... work experience. **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)**… more
- Hartford HealthCare (Farmington, CT)
- …team , CDI and Revenue Cycle Leadership, physician leaders, all providers, quality management team , and coding team ongoing feedback. . Create relevant ... CDI Manager/Director. . Provides CDI subject matter expert guidance to CDS team , coding , physician leadership, quality management, utilization management, all… more
- Datavant (Augusta, ME)
- …between revenue, compliance, and user experience arise. **Leadership & Culture:** + Build, lead , and coach a team of Product Managers working across different ... healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC… more
- Dignity Health (Bakersfield, CA)
- …Excel, Word). **Preferred Qualifications:** - 2-3 years of experience in risk adjustment/ HCC coding preferred - CRC, in addition to certifications listed ... Dignity Health. As a member of the Quality Management/Risk team , the Value Based Coder works with providers and...and sponsored programs. - Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation… more
- CVS Health (Springfield, IL)
- …+ Understanding of value-based care, including risk adjustment methodologies (eg, HCC coding ), quality measurement frameworks, and payer-provider collaboration. ... it all with heart, each and every day. The Lead Director, National VBC Performance Planning & Insights will...integrity, and consistency + Work with Center of Excellence team to roll out and provide education and training… more
- Henry Ford Health System (Troy, MI)
- …medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk ... Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical record documentation. EDUCATION/EXPERIENCE… more
- J&J Family of Companies (Gaithersburg, MD)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- J&J Family of Companies (Columbus, OH)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
- J&J Family of Companies (Nashville, TN)
- …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
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