- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid ... + **Current Students in the CRC program please apply!** + 1 year ** RISK CODING** experience, preferred (NEW GRADUATES WELCOME) + Experience in HCC or chronic… more
- Datavant (Jefferson City, MO)
- …Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality ... of employees' work, process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. **You will:** + Supervise… more
- Datavant (Nashville, TN)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + Review, analyze, and code diagnostic information in a patient's medical record based on client specific… more
- BJC HealthCare (St. Louis, MO)
- …to be successful in the role: + **Hierarchical Condition Category (HCC)** **coding and risk adjustment ** + **Bachelors degree** + **2 years in a supervisory ... role** + **5 years of relevant experience** + **Ambulatory care experience** \#LI-DS2 \#LI-TP1 **Overview** **BJC Medical Group** is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers… more
- Datavant (Atlanta, GA)
- …skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $27-$30 USD To ensure the safety of patients and ... staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and… more
- Healthfirst (NY)
- …accredited institution. + At least 5 years previous work experience within risk adjustment , grouper analysis or other statistical//clinical analysis + Experience ... with Medicaid//HHS risk adjustment payment methodologies. + Proficiency in SQL (Script Development, Joins) using PostgreSQL, MS SQL Server, MySQL and Advanced MS… more
- Datavant (Topeka, KS)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... + Serve as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care operations. + Liaison account management… more
- Molina Healthcare (Cincinnati, OH)
- …other provider engagement teams within Molina. + Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and ... **JOB DESCRIPTION** **Job Summary** Regional Director Risk & Quality Solutions is responsible for contributing...the subject matter expert in all functional areas in risk , data capture and quality improvement, coordinating national and… more
- UPMC (Pittsburgh, PA)
- …Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department. This is a full-time position working Monday through ... to coding and documentation in the medical record and the various risk adjustment models of payment. The Physician Educator is responsible for education of… more
- Bluestone Physician Services (Stillwater, MN)
- …thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play ... reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers and… more