- Good Samaritan (Sioux Falls, SD)
- …and knowledge of accreditation and regulatory agency standards preferred. Quality, medical coding , and/or risk adjustment experience is preferred. Currently ... all aspects of workflow are completed. Will review the risk score adjustment information for medical chart record requests and potential medical chart… more
- Amazon (IL)
- …ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10-CM, CPT, and other relevant codes to ... complete chart reviews for Profee and HCC Risk Adjustment * Possesses advanced knowledge and...Possesses advanced knowledge and understanding of Profee and HCC Risk Adjustment , coding and documentation… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... Documentation Integrity Specialist (QI-CDIS) responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation… more
- Queen's Health System (Honolulu, HI)
- …completeness of documentation and code assignment for the purposes of appropriate reimbursement, risk adjustment , severity of illness, risk of mortality, ... to ensure the appropriate capture of Comorbid conditions and Major comorbid conditions. * Collaborates with coding staff and quality team to ensure integrity and… more
- Centene Corporation (Lansing, MI)
- …Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). + Assists in ... education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to meet… more
- BrightSpring Health Services (Louisville, KY)
- …+ Strong knowledge of coding and documentation (eg, HCC, RAF, risk adjustment ). + Demonstrated ability to lead cross-functional teams through large-scale ... maintain clinical policies, procedures, and documentation standards, including HCC and risk adjustment best practices. + Onboarding Leadership: Lead onboarding… more