- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... oversight. Reviews medical records to assess proper extraction of ...complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical… more
- Henry Ford Health System (Troy, MI)
- … billing and third-party payer regulations. + Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. + Knowledge of ... GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT,… more
- Ascension Health (Austin, TX)
- …coding experience, preferably in outpatient or primary care settings. + Experience with risk adjustment programs (Medicare Advantage, ACO, ACA HHS, or Medicaid). ... Health Information Management Association (AHIMA) preferred. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders… more
- Trinity Health (Livonia, MI)
- …Information Administrator thru AHIMA** + **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must ... **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan… more
- Avera (Sioux Falls, SD)
- …where you matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information ... Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with...Adjustment , Manager of Quality, Quality Coordinator - HEDIS, coder (s), claims staff, and primary care & specialty care… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …from AHIMA or AAPC \(CPC, CCS, CRC, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPC within the first year ... with a strong background in medical records coding and quality assurance? Risk Adjustment is looking for a **Supervisor** to lead a dynamic team dedicated to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional ... and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid |...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life insurance *… more
- Wolters Kluwer (Austin, TX)
- …Data | Health Language | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** ** Coder Workbench Solution:** ** Risk Adjustment ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...needs and balance your work and personal life, including ** Medical , Dental, & Vision Plans, 401(k), FSA/HSA, Commuter Benefits,… more
- Datavant (Madison, WI)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
- Datavant (Honolulu, HI)
- …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more