- 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
- Elevance Health (Richmond, VA)
- …and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end ... services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the...of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or… 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
- Amazon (Redmond, WA)
- …tests to identify failures and establish metrics to increase coverage, mitigate risk and drive continuous improvement. You with work closely with other software ... to automate and optimize execution of functional testing, spacecraft validation, and chart the path to reliably qualify, quantify and launch thousands of satellites.… more
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