- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure data integrity, accuracy, completeness and adherence to leading practices in risk adjustment coding . * Identifies external partner opportunities, ... Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location:...* Responsible for developing and implementing risk adjustment strategies to facilitate accurate and complete coding… more
- Datavant (Augusta, ME)
- …on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent ... As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the...technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models… more
- Ankura (New York, NY)
- …Risk Adjustment data collection and submission activities as well as knowledge of Risk Adjustment coding requirements preferably with a Risk ... and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- Providence (Portland, OR)
- …work mostly remotely in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you ... will be the cornerstone of our strategic vision. You will oversee risk adjustment programs, spearhead provider education, and enhance engagement to support… more
- Henry Ford Health System (Detroit, MI)
- …to maximize accurate reimbursement. + Support initiatives for quality reporting, risk adjustment , provider education, and regulatory compliance. Innovation, ... and ensuring the financial strength of our system. As the Director of Procedural and Anesthesia Coding , you'll set the strategy and lead system-wide efforts to… more
- Commonwealth Care Alliance (Boston, MA)
- …data, including claims, encounters, diagnoses, and provider data. + Familiarity with CMS risk adjustment methodologies and HCC coding preferred. + Experience ... Director of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Demonstrated knowledge of ICD-10-CM/PCS, CPT/HCPCS coding , MS-DRGs, APR-DRGs, APCs, and risk adjustment . Certifications / Licensure: + RHIA, RHIT, or CCS ... factors permitted by law. Responsibilities: + Provide day-to-day leadership to coding teams across inpatient, outpatient and professional services. + Partner with… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …opportunities for performance improvement related to system-wide RSA and HCC and other risk adjustment coding initiatives. Works with HCC Coding ... Detail Critical Thinking Accuracy Healthcare Software Coding conventions CMS OIG Risk adjustment coding Many of our opportunities reward* your hard work… more
- Penn Medicine (Bala Cynwyd, PA)
- …of relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) + Certified Risk ... Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line,… more
- HCA Healthcare (Richmond, VA)
- … coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business ... (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and… more