• Risk Adjustment Analyst

    Mount Sinai Health System (New York, NY)
    **Job Description** MSHP seeks a Risk Adjustment Analyst support efforts to improve the overall quality and completeness of clinical documentation in ... and CPT coding books ? Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements ? Experience with Microsoft Excel… more
    Mount Sinai Health System (06/21/25)
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  • Professional, Risk Adjustment

    MVP Health Care (Schenectady, NY)
    Professional, Risk Adjustment Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. ... improvement. To achieve this, we're looking for a **Professional, Risk Adjustment Analyst ** to join... coding for Medicaid members. Calculates ROIs for Risk Adjustment programs. + Maintain regulatory agency… more
    MVP Health Care (05/21/25)
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  • Risk Adjustment Analyst

    Fallon Health (Worcester, MA)
    …or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose** : The Risk Adjustment Analyst (RAA) will be a SME for the MassHealth ... risk adjustment model(s) and related data submission...and submit claims adjustments for supplemental submission from internal coding , external coding , and provider group … more
    Fallon Health (06/09/25)
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  • Risk Adjustment Business…

    Commonwealth Care Alliance (Boston, MA)
    011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex ... methodology, and will play an essential role in driving Risk Adjustment (RA) Program performance. Supervision Exercised:...processes for all essential Health Plan risk adjustment program activities including identifying gaps in coding more
    Commonwealth Care Alliance (05/23/25)
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  • Medicare Advantage Risk Adjustment

    UCLA Health (Los Angeles, CA)
    …and others. + Serve as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: ... As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department… more
    UCLA Health (06/11/25)
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  • Senior Medical Coding Quality…

    Aston Carter (Salem, OR)
    Job Title: Medical Coding Analyst Job Description As a Medical Coding Analyst , you will serve as a subject matter expert on medical coding workflows, ... MIPS (Merit-based Incentive Payment System) performance reports. + Identify coding and billing risk areas and conduct...or RHIA. + Minimum of 2 years as a Coding Analyst or Coding Supervisor.… more
    Aston Carter (06/26/25)
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  • Senior Medical Coding Quality…

    Aston Carter (Salem, OR)
    …accuracy. Essential Skills + Certified through RHIT or RHIA. + Minimum of 2 years as a Coding Analyst or Coding Supervisor. + Over 5 years of coding ... Job Title: Hybrid Senior Medical Coding Quality Analyst 4 Days remote...+ Prepare and track MIPS performance reports. + Identify coding and billing risk areas and conduct… more
    Aston Carter (06/13/25)
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  • Manager, Clinical Quality Coding

    Sutter Health (Sacramento, CA)
    …workflows, data management, coding staff specific to clinical documentation improvement and risk adjustment coding initiatives. Manages the day to day ... operations related to Risk Adjustment Coding . Provides oversight... coding team. Coordinates work with Clinical Quality Coding Analyst and Educators. Creates and maintains… more
    Sutter Health (06/17/25)
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  • Technology Analyst 2 (Rapid Application…

    New York State Civil Service (New York, NY)
    NY HELP No Agency Information Technology Services, Office of Title Technology Analyst 2 (Rapid Application Development) - Project Assistant Occupational Category IT ... Under the direction of the Information Technology Architect 2, the Technology Analyst 2 (Rapid Application Development) will be responsible for designing and… more
    New York State Civil Service (06/12/25)
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  • Medical Economics Analyst Sr - Hybrid

    AdventHealth (Maitland, FL)
    …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
    AdventHealth (04/17/25)
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