- CRC Insurance Services, Inc. (Melville, NY)
- …market our services. + Pre-screening level-funded groups to determine suitable products and risk adjustment factors on premium rates. + Driving agents to apply ... the appropriate technology solution as needed to assure safe, secure, and paperless sales administration. + Involving SE as appropriate with assistance in closing new cases and adding product lines. + Assisting agents/brokers in presenting our products to… more
- Point32Health (Canton, MA)
- …for key initiatives + Serve as the key liaison for Actuarial, Finance, Risk Adjustment , Corporate Data and Analytics, Medical Cost Management, and Pharmacy ... amongst others + Serve as liaison with key external vendors impacting product performance, eg, Cityblock + Build product competencies, in collaboration with the Policy and Strategy manager of Product Strategy to ensure analysis design, assessment and… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- BCBST is seeking a detail\-oriented Actuarial Consultant to support our risk adjustment and value\-based team\. In this role, you will produce routine and ... ad\-hoc reports, as well as project financial accruals and assist with annual pricing responsibilities\. You'll be a great match for this role if you have at least two years of actuarial experience, preferably in the healthcare field\. Ideal candidates will… 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 ... anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Experience with computer software programs such as Microsoft Office products, Adobe Pro, and others used for data collection. + Excellent… more
- Henry Ford Health System (Detroit, MI)
- …to maximize accurate reimbursement. + Support initiatives for quality reporting, risk adjustment , provider education, and regulatory compliance. Innovation, ... Technology & Vendor Management + Leverage automation, Epic-based workflows, and advanced tools (eg, machine-learning prioritization engines) to streamline operations and prioritize workload. + Work closely with IT on system selection, testing, installation,… more
- WMCHealth (Valhalla, NY)
- …a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High school ... or equivalency diploma, required. An Associate's degree or Bachelor's degree in health information management may be substituted for one year of the required experience. Licenses / Certifications: Current certification as either a Certified Coding Specialist… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …obtain within one (1) year of hire. **Licenses and Certifications Preferred:** + Certified Risk Adjustment Coder (CRAC). If you feel that the above description ... speaks directly to your strengths and capabilities, then please apply today! 172425 Starting at $104,166.40 Annually HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith… more
- Geisinger (Danville, PA)
- …Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders ... (AAPC); Certified Professional Coder - American Academy of Professional Coders (AAPC) OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat… more
- Scripps Health (San Diego, CA)
- …of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment /HCC principles. * Strong technical proficiency and experience ... in professional fee/physician services operations, analytics, and reporting. **Job:** **Business Office* **Organization:** **Scripps Health Corp* **Title:** *Senior Director, Revenue Cycle - Clinical Documentation Integrity* **Location:** *Central San Diego… more
- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... 4.0 STAR rating. The coding specialist is responsible for education to external physician offices and works closely with physicians and billers to ensure the appropriate ICD10 and CPT codes submitted for Medicare and Covered CA lines of business. Coding… more