- Humana (Albany, NY)
- **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
- Excellus BlueCross BlueShield (Buffalo, NY)
- …existing staff for projects and daily work. * Research best practices in risk adjustment coding and reviews the professional literature for coding ... we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is... and reimbursement methods by researching literature and attending professional seminars, workshops, and conferences as required by AHIMA… more
- Trinity Health (Syracuse, NY)
- …Ability to conduct Education if needed. Auditing Experience Posting POSITION PURPOSE: The Risk Adjustment Coding Specialist works in a team environment ... education and training will be conducted per Excellus payer risk adjustment coding guidelines and...and Teams. . Adept in Electronic Health Records and Professional Billing systems . High School Diploma or GED… more
- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Risk Adjustment Coding & Chart Coordinator will be responsible for a number ... of key elements that drive success in the CDPHP Risk Adjustment programs. This includes, but is...ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on… more
- MVP Health Care (Schenectady, NY)
- Professional , Risk Adjustment Analyst... coding for Medicaid members. Calculates ROIs for Risk Adjustment programs. + Maintain regulatory agency ... thinking and continuous improvement. To achieve this, we're looking for a ** Professional , Risk Adjustment Analyst** to join #TeamMVP. This is the opportunity… more
- Datavant (Albany, NY)
- …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 (Albany, NY)
- **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
- CenterLight Health System (NY)
- … Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) years' experience in ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… 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 ... concurrent and retrospective reviews of documentation and coding and working with providers and staff to ensure...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder certification… more
- Datavant (Albany, NY)
- …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