- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, ... capture of true disease burden and quality using official Risk Adjustment and relevant official documentation...up on all cases and resolution of those with clinical documentation clarifications. + Provide routine formal… more
- Evolent (Harrisburg, PA)
- …that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + ... training and support to health care providers on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Data analysis and… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …adjustment payment models. Understand the audit process for risk adjustment models. Ability to identify and communicate documentation deficiencies to ... providers to improve documentation for accurate risk adjustment coding. Knowledge of anatomy, pathophysiology,...assignments with an emphasis on completeness, accuracy, and supporting clinical care plans to Risk Adjustment… more
- Datavant (Harrisburg, PA)
- …+ 8+ years of product management experience in healthcare, including ownership of clinical , risk adjustment , or provider-facing solutions. + Proven ... solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS-HCC, HHS-HCC), and code sets / … more
- Highmark Health (Blue Bell, PA)
- …Development and Management: + Provide strategic leadership and management for the Risk Adjustment Accuracy Management Department. + Develop and oversee programs ... oversee and adapt infrastructure (processes, systems, talent) to support an effective risk adjustment program as CMS/HHS/DPW evolves the models and guidance.… more
- Highmark Health (Pittsburgh, PA)
- …to Quality and Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable guidelines, regulations and ... highest quality of care to Highmark members and improve clinical documentation accuracy and completeness. Creates a...a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track… more
- Datavant (Harrisburg, PA)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Datavant (Harrisburg, PA)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + Review,… more
- Datavant (Harrisburg, PA)
- …coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy… more
- KidsPeace Childrens Hospital (Bethlehem, PA)
- …migrant children in their journey to reunite with their families. As our clinical manager, you will be working with children who have experienced significant trauma ... and are navigating the challenges of displacement, migration, and cultural adjustment . Our programs help promote the well-being of unaccompanied children through… more
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