- CenterWell (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...the GenAI ( CODER ) tool to improve the medical coder experience. + Oversees coding operations… more
- Humana (Salt Lake City, UT)
- …to adapt quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) + Certified Documentation Expert ... improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk … more
- Molina Healthcare (MI)
- …Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- Humana (Fort Lauderdale, FL)
- …AAPC CPC (Certified Professional Coder ) Certification + 4 or more years of medical coding experience + Risk Adjustment knowledge + Proficiency with data ... sets **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Mayo Clinic (Rochester, MN)
- …AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification Certified Risk Adjustment Coder (CRC) AAPC certification **Exemption Status** ... CDI!** Join our team to train providers on documentation best practices and risk adjustment , deliver tailored education, and develop engaging content across Mayo… more
- Blue KC (Kansas City, MO)
- … medical groups. + Analyze data and monitor provider metrics to identify risk adjustment , HEDIS or educational opportunities for the Medicare Advantage and ... business. + Develop educational tools for network providers regarding risk adjustment and HEDIS documentation and coding...at least five years coding experience + Obtain Certified Risk Coder (CRC) within 1 year of… more
- CVS Health (Austin, TX)
- … Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ) + Computer proficiency including experience ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
- CareFirst (Baltimore, MD)
- …and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an ... **Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in… more
- Datavant (Sacramento, CA)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more