- SSM Health (IL)
- …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... Regular **Job Highlights:** Must have prior experience as a Clinical Documentation Specialist **Required Qualifications:** + 1 year of experience as a Clinical… 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 ... clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective...a diagnosis. * Acts as a liaison between the Coding Department and the Clinical Documentation Integrity Specialist… more
- 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
- SSM Health (MO)
- …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... represents the current health status of network patients against ever-changing risk adjusted models. Responsible for achieving improved documentation results and … more
- 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 ... of the assigned area(s) of nursing. Will incorporate responsibilities related to the quality risk and risk score adjustment programs. Assist with the quality… 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 (North Reading, MA)
- …(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
- Humana (Alachua, FL)
- …our caring community and help us put health first** The Medical Record Retrieval Specialist ( Risk Adjustment Representative 3) Travels to provider offices ... reviewed by Humana's Coding staff. The Medical Record Retrieval Representative ( Risk Adjustment Representative 3): + Travel up to 60% of the time in Alachua,… more
- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- …the organization about compliance issues that substantially impact the facility. 5) Risk Assessment Serves as the single resource person for providing leadership in ... all aspects of CBI Risk Assessment and Management processes. Formalize measurement tools for high- risk areas and key indicators of success that have impact on… more
- RELX INC (Houston, TX)
- …implementation experience? This may be the role for you! About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more