- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan,...keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment.… more
- MVP Health Care (Schenectady, NY)
- …with provider offices and facilities to obtain medical records for the purpose of the Risk Adjustment team validating diagnoses that were sent to CMS (Center for ... To achieve this, we're looking for a Chart Procurement Specialist to join #TeamMVP. This is the opportunity for...organizational skills. Detail oriented with proven ability to produce quality work. Good problem-solving skills and ability to learn… more
- ITG Brands (Greensboro, NC)
- Automation Controls Specialist **Location** North Carolina **City** Greensboro **Role Type** Permanent **WHO WE ARE** ITG Brands is the third-largest tobacco company ... as part of the Operational Production Team to Electricians, Engineering Specialist , and Project Engineering. Partners with senior staff for implementation, testing,… more
- Avera (Sioux Falls, SD)
- …initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of ... Quality and Risk Services, Manager of Risk Adjustment...providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates ... more than a job. You'll discover a commitment to quality care in a safe environment and a foundation...you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior coding… more
- HCA Healthcare (Campbell, CA)
- …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be ... Eligibility for benefits may vary by location._** Come join our team as a Director of Quality and Risk Adjustment . We care for our communities and employees!… more
- Centene Corporation (Jefferson City, MO)
- …design and execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert guidance on CMS ... findings to business stakeholders to support the integrity and quality of risk adjustment data....required + NP or PAN preferred + Certified Coding Specialist (CCS) preferred Pay Range: $68,700.00 - $123,700.00 per… more
- Apex Health Solutions (Houston, TX)
- …following is required: . Certified Professional Coder (CPC) . Certified Risk Adjustment Coder (CRC) . Certified Coding Specialist (CCS) . Registered Health ... records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION: . High School Diploma or GED required… more
- Centene Corporation (Jefferson City, MO)
- …designing and executing Line 2 audits to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide guidance on CMS coding ... effectively communicates findings to business stakeholders to ensure the quality of risk adjustment data....+ Certified Professional Coder (CPC) required + Certified Coding Specialist (CCS) preferred Pay Range: $55,100.00 - $99,000.00 per… more
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