- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... clinical chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other… more
- Datavant (Jefferson City, MO)
- …bold vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our ... through the process if they agree the coder's initial coding was correct. + Answers coding questions...titles (eg, Software Engineer) rather than complex ones (eg, Senior Software Engineer). The range posted is for a… more
- Centene Corporation (Jefferson City, MO)
- …+ 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding required + Medicare experience required + Demonstrated ... from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the… more
- CenterWell (Jefferson City, MO)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- Blue KC (Kansas City, MO)
- …on program implementation and barrier resolution. + Provide training on Stars measures, risk adjustment coding practices, and Blue KC program administration, ... educational tools for network providers regarding risk adjustment and HEDIS documentation and coding best practices to facilitate risk adjustment… more
- Blue KC (Kansas City, MO)
- …limited oversight. **Job Description** + Assist in performing ongoing FWA risk assessments, leveraging data analytics to identify trends, patterns, outliers relative ... to peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prioritize for further review, based upon… more