- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... current regulatory requirements and best practices. + Perform clinical chart reviews and advise on clinical best practices related...reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,… 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
- Apex Health Solutions (Houston, TX)
- …(RHIA) EXPERIENCE: . Minimum of three (3) years HCC experience performing retrospective risk adjustment chart review required . Minimum of three ... medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment...accurately records all appropriate records and data on assigned chart abstraction projects . Ability to meet productivity and… 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid | ... Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead...forecasting for Medicare, ACA, and Medicaid. * Oversees diagnostic coding gap identification (suspecting), confidence modeling, and benchmarking. *… more
- Datavant (Topeka, KS)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...plus the option to earn up to $3.25 per chart based on quality and production.** To ensure the… more
- Albany Medical Center (Albany, NY)
- …and training to providers and coding staff. Act as an expert for the HCC/ Risk adjustment coding . This position is remote but does require onsite ... for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. + Conducts professional… more
- Catholic Health Initiatives (Little Rock, AR)
- … for the value hub. + Through Risk Management/Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN. + ... and maintain the highest level of ethics in their chart reviews and provider interactions. Use the weekly auditor's...Health Management experience required + Must have experience with risk adjustment coding and value… 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
- Molina Healthcare (MI)
- …Risk Adjustment , is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment , RADV, or Risk ... audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan...healthcare, including at least 4 years in health plan Risk Adjustment or clinical data acquisition/ chart… more