- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Analyst provides analytic, technical, and decision support to ... timely, and consistent information enabling informed decisions related to risk adjustment activities. The Analyst ...of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding +… more
- Centene Corporation (Tallahassee, FL)
- … risk adjustment and/or compliance required + Previous experience in risk adjustment oversight and/or coding planning preferred + Demonstrated ... from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the… more
- UCLA Health (Los Angeles, CA)
- …and others. + Serve as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: ... As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department… more
- Corewell Health (Grand Rapids, MI)
- …Some states are not eligible for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager, Risk Adjustment Analytics will ... be responsible for leading the Risk Adjustment Analytics team and supporting the goals and objectives...who is adept at problem solving, possesses strong SQL coding skills and an ability to communicate effectively to… more
- Independent Health (Buffalo, NY)
- …on pricing outcomes. + Establish and implement claims review processes to support risk adjustment . Analyze data and provide strategic insights to enhance pricing ... and financial performance. + Ensure compliance with CMS regulations and risk adjustment methodologies. + Develop and execute pricing strategies, incorporating… more
- CVS Health (Harrisburg, PA)
- …Coder) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical ... Coder) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor)… more
- MedKoder (Mandeville, LA)
- … coding veteran, the company offers services including inpatient and outpatient facility coding , medical risk adjustment management, DRG coding ... About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for… more
- Penn Medicine (Bala Cynwyd, PA)
- …unit, department, entity, and health system organization Credentials: + Certified Risk Adjustment Coder certification. (Preferred) + Certified Procedural Coder ... Monument Road, Bala Cynwyd, PA Summary: + The Compliance Analyst (CA) I is responsible for audits, reviews, and...guidance/response that is congruent with standards of CMS, Correct Coding guidelines as well as National Correct Coding… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- Novant Health (NC)
- …domains: Quality, Total Cost of Care, Network Integrity, Social Determinants of Health, Risk Adjustment , and Attribution. * Reconcile and validate data and ... annual net patient service revenue, as well as upside/downside VBC revenue risk . Payor Intelligence manages a unified payor dataset to develop population-level and… more