- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and ... documentation deficiencies to providers to improve documentation for accurate risk adjustment coding . Knowledge of...has a knowledge of how to read a medical chart and assign the correct diagnosis (ICD-10-CM) codes for… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... Adjustment Data Validation (RADV) audit and any other chart coding functions, by performing moderately complex...documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as… more
- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... current regulatory requirements and best practices. + Perform clinical chart reviews and advise on clinical best practices related...reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,… more
- Trinity Health (Columbus, OH)
- …chronic conditions. + Collaborate with providers to clarify documentation and educate on risk adjustment coding best practices. + Conduct retrospective and ... revenue integrity, and clinical documentation improvement through thorough review chart and collaboration with providers. **What You Will Do:**...+ Train and mentor peers and new coders on risk adjustment coding standards, MEAT/TAMPER… more
- Datavant (Juneau, AK)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data ... strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving...in collaboration with the Retrieval Product team to streamline chart access for Retrospective Coding Products. Build… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …you'll play a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external ... integrity of our healthcare data. Your Responsibilities * Ensure accuracy and compliance of risk adjustment coding , including the appropriate coding of… more
- Apex Health Solutions (Houston, TX)
- …(RHIA) EXPERIENCE: . Minimum of three (3) years HCC experience performing retrospective risk adjustment chart review required . Minimum of three ... medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment...accurately records all appropriate records and data on assigned chart abstraction projects . Ability to meet productivity and… more
- Ankura (New York, NY)
- …Risk Adjustment data collection and submission activities as well as knowledge of Risk Adjustment coding requirements preferably with a Risk ... Risk Adjustment vendor audit processes, managing retrospective or prospective Risk Adjustment activities such as Chart Review or In-Home Risk … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid | ... Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead...forecasting for Medicare, ACA, and Medicaid. * Oversees diagnostic coding gap identification (suspecting), confidence modeling, and benchmarking. *… more
- Datavant (Topeka, KS)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...plus the option to earn up to $3.25 per chart based on quality and production.** To ensure the… more