- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of ... for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Datavant (Tallahassee, FL)
- …looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy and ... mapping and models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid … more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to ... and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the… more
- Elevance Health (FL)
- …medical terminology and anatomy strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk ... and quality of life through home-care and community based services. **Medical Coding Analyst Sr.** Seeking Certified Medical Coders.** Location: **This position is… more
- RELX INC (Boca Raton, FL)
- …in tech consulting?Would you like to join our great team? 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
- Datavant (Tallahassee, FL)
- …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all… more
- Humana (Gainesville, FL)
- …community and help us put health first** The Medical Record Retrieval Specialist ( Risk Adjustment Representative 3) travels to provider offices within the region ... a secure system. The records are reviewed by Humana's Coding staff. Gainesville, FL area Alachua, Putnam and Marion...Marion counties in FL The Medical Record Retrieval Representative ( Risk Adjustment Representative 3): + Travel up… more
- AdventHealth (Maitland, FL)
- … professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... of complex and varied healthcare data including financial modeling and risk forecasting + Work to identify/implement improvements in quality control/timeliness of… more
- Evolent (Tallahassee, FL)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... + 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2...biostatistics, mathematics, computer science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy… more