- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing ... Compliance Auditing Specialist - Remote/Hybrid available Company: NorthEast Provider Solutions Inc....concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure… 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
- Ascension Health (Elk Grove Village, IL)
- …/ Registration: + One or more of the following required:* Certified Coding Specialist (CCS) credentialed from the American Health Information ... have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED**...in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)… more
- Humana (Newark, NJ)
- …system. The records are reviewed by Humana's Coding staff. Medical Records Retrieval Specialist ( Risk Adjustment Representative 2) + Travels up to 100% ... community and help us put health first** The Medical Records Retrieval Specialist ( Risk Adjustment Representative 2) travels to provider offices within New… more
- Amazon (Hawthorne, CA)
- …(Amazon's subsidiary) Security team is growing and looking for a highly motivated security risk & compliance specialist to join our team and drive regulatory ... audit executions. You should be a technically experienced and innovative security, risk , compliance, and audit professional who has the ability to understand… more
- New York State Civil Service (Albany, NY)
- …Title Virtual Currency Data Governance Senior Analyst (Financial Services Specialist 2 (Policy Analysis), SG-23) Occupational Category Financial, Accounting, ... for the position of Senior Virtual Currency Data Analysis Specialist in the Virtual Currency Unit within the Research...to the team;* Ensures consistency by adhering to software coding and style guides;* Provides training and support to… more
- The Cigna Group (Bloomfield, CT)
- …and coordinate with team members and matrix partners to facilitate various aspects of coding and Risk Adjustment education with internal and external ... The Risk Adjustment Quality & Review Analyst...The Risk Adjustment Quality & Review Analyst in IFP brings...Coders (AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified… more
- Hartford HealthCare (Farmington, CT)
- …observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition ... capture (HCC) codes, risk adjustment , and other high quality documentation outcome measures. ....experience preferred **Licensure, Certification, Registration** . RN and/or Certified Coding Specialist (CCS) **And** . Certified Clinical… more
- Scripps Health (San Diego, CA)
- …Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. * Directs instructions and education ... * AHIMA RHIT (Registered Health Information Technician) * AHIMA CCS (Certified Coding Specialist ) or AAPC CPC (Certified Professional Coder) * Knowledge… more
- Catholic Health Services (Rockville Centre, NY)
- …and as part of a multidisciplinary team. + Knowledge of quality metrics, care gaps, and risk adjustment coding is a plus. + Bilingual - Spanish speaking a ... discharges. + Established patients discharged from hospitals to reduce readmission risk and prevent suboptimal outcomes. + Collaborate with hospital discharge… more