- Evolent (Phoenix, AZ)
- …Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of ... the Risk Adjustment Coding Support team....achievement of OKRs and assigned initiatives. + Conducts monthly chart and phone audits for individual team members, providing… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and ... documentation deficiencies to providers to improve documentation for accurate risk adjustment coding . Knowledge of...has a knowledge of how to read a medical chart and assign the correct diagnosis (ICD-10-CM) codes for… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... Adjustment Data Validation (RADV) audit and any other chart coding functions, by performing moderately complex...documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as… more
- CDPHP (Latham, NY)
- …you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis coding ... one year of employment is required. + CRC (Certified Risk Adjustment Coder) credential preferred. + Minimum...ability to research, analyze and interpret CMS and State coding and documentation guidelines and apply to chart… more
- Datavant (Juneau, AK)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data ... strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving...in collaboration with the Retrieval Product team to streamline chart access for Retrospective Coding Products. +… more
- Highmark Health (Pittsburgh, PA)
- …+ Production Coding : Manage a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding ... for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable...coding . Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support… more
- Bluestone Physician Services (Stillwater, MN)
- …reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers ... support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and...and documentation best practices. + Maintain accurate records of chart reviews, coding opportunities identified, and outcomes… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …you'll play a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external ... integrity of our healthcare data. Your Responsibilities * Ensure accuracy and compliance of risk adjustment coding , including the appropriate coding of… more
- Datavant (Augusta, ME)
- …on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent ... complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS-HCC,… more
- Ankura (New York, NY)
- …Risk Adjustment data collection and submission activities as well as knowledge of Risk Adjustment coding requirements preferably with a Risk ... Risk Adjustment vendor audit processes, managing retrospective or prospective Risk Adjustment activities such as Chart Review or In-Home Risk … more
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