- CenterWell (Salt Lake City, UT)
- …contracts. + Experience in MSO, Payor Org. + Experience in Medicare Risk Adjustment , Cost Management, Utilization Management. + Advanced organizational skills ... and/or project management + Ability to travel as needed **Preferred Qualifications** + Bachelor and/or Master's Degree + Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses, and quality/bonus performance +… more
- Providence (OR)
- …the rate development and filing efforts including competitive analysis, network analysis, risk adjustment , trend, actuarial value analysis, rate adequacy review, ... etc. Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your… more
- Penn Medicine (Bala Cynwyd, PA)
- …+ Relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding (Required) + Additional experience could be ... considered in lieu of degree. + CCS or Certified Procedural Coder - CPC (AAPC) (Required) + **CRC (Preferred)** We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get… more
- Humana (Johnson City, TN)
- …community and help us put health first** The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region ... to retrieve medical records and upload into a secure system. Live in the Virginia - Washington County, Abingdon and Bristol area Live in Tennessee- Bristol City, Sullivan County, Washington County The Medical Records Retrieval Specialist + Properly supported… more
- UTMB Health (Galveston, TX)
- …- Certified Professional Coder - Apprentice (AAPC) _or_ + CRC - Certified Risk Adjustment Coder (AAPC) **JOB SUMMARY:** Properly codes and/or audits professional ... services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers. **ESSENTIAL JOB FUNCTIONS:** + Reviews documentation in EPIC and/or on… more
- St. Luke's Health System (Boise, ID)
- …Outpatient Coder), CPC (Certified Professional Coder), CPC-H, CRC (Certified Risk Adjustment Coder), RHIA (Registered Health Information Administrator), ... or RHIT (Registered Health Information Technician) **What's in it for you** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both… more
- reveleer (CA)
- …a technology-enabled healthcare services company that delivers performance measurement, quality, and risk adjustment solutions to health plans and Managed Care ... Organizations nationwide. We partner with healthcare providers to retrieve critical medical record data and deliver accurate, auditable results that support revenue integrity and improved quality of care. Position Overview Reveleer is seeking a Senior Staff… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment , Stars performance, and member engagement. Pareto's deep ... analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment , Stars performance, and member engagement. Pareto's deep ... analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment , Stars performance, and member engagement. Pareto's deep ... analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable… more