- Trinity Health (Livonia, MI)
- …clinical documentation integrity, coding, healthcare quality or equivalent + Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity ... (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience +… more
- CenterWell (Tallahassee, FL)
- …years of experience as a certified medical coder + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + Standard working ... hours required; 8:00 am - 5:00 pm; Eastern Time Zones + Ability to travel to office locations as needed + **Incumbent must reside in Florida** **Work at Home Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the… more
- Dignity Health (Bakersfield, CA)
- …and dual eligible populations, and benefit systems is preferred. - HEDIS/Stars and HCC/ Risk adjustment knowledge. \#LI-DH **Where You'll Work** The purpose of ... Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage… more
- The Cigna Group (Bloomfield, CT)
- …clinical rigor using advanced analytic techniques including but not limited to risk adjustment , episode analytics, statistical modeling, power analysis, matched ... case control studies etc. + Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners. Work with IT partners to deploy actionable insight into accessible solutions for… more
- Ascension Health (Austin, TX)
- …years Medical Coding experience with at least 2 years specific to Medicare Risk Adjustment /HCC Coding required. + ICD-10 coding experience required. + Experience ... with educating/training/delivering feedback to medical providers preferred. + Experience with auditing medical records preferred. + Electronic Healthcare Record (EHR) and Population Health platform/solutions experience (athena, Cerner, Innovaccer, Arcadia,… more
- Henry Ford Health System (Troy, MI)
- …appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk Adjustment analysis and reimbursement guidelines. Actively works with ... organizational leadership to plan, design, test, implement, and evaluate integrated revenue cycle systems and solutions that support and enhance business practice, administrative and management needs. Facilitates and promotes standardization across Henry Ford… more
- Queen's Health System (Honolulu, HI)
- …file transfer protocol (FTP) sites for quality and payor review of records (HEDIS/ Risk Adjustment /RAC). II. TYPICAL PHYSICAL DEMANDS: * Finger dexterity, seeing, ... hearing, speaking. * Occasional: Standing, sitting, walking, stooping, bending, squatting, and pushing/pulling up to 5 pounds of force. III. TYPICAL WORKING CONDITIONS: * Not substantially subjected to adverse environmental conditions. IV. MINIMUM… more
- CVS Health (Hartford, CT)
- …**healthcare analytics** . + Proven expertise in **payer-side data** (claims, eligibility, risk adjustment ); provider-side experience is a plus. + Demonstrated ... success in **publishing research** or leading scientific studies. + **Technical Skills:** + Proficiency in Python, R, or similar languages; experience with big data platforms and cloud environments. + Strong knowledge of BI tools (Tableau, Power BI, Looker)… more
- University of Washington (Seattle, WA)
- …System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/ Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal ... reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. **PRIMARY JOB RESPONSIBILITIES** + Validates codes entered at the point of… more
- UTMB Health (Galveston, TX)
- …Coder - Apprentice American Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) *One of the ... above certifications is required. **Job Summary/Description:** 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… more