- 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
- 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
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan ... Administrator thru AHIMA** + **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must obtain within… more
- Corewell Health (Grand Rapids, MI)
- About the Position The Population Health RN - Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical ... clinical expertise with health technology to ensure documentation supports accurate risk adjustment , quality reporting, and optimal patient care outcomes.… 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....and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred +… more
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid ... **Details** + **Department:** Population Health Quality Department + **Schedule:** Full-time Hybrid - 2 to 3 days of onsite work required (Tuesdays and Thursdays) +… more
- Bluestone Physician Services (Stillwater, MN)
- …thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play ... reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers and… more
- Good Samaritan (Sioux Falls, SD)
- …the assigned area(s) of nursing. Will incorporate responsibilities related to the quality risk and risk score adjustment programs. Assist with the ... experience. Experience and knowledge of accreditation and regulatory agency standards preferred. Quality , medical coding, and/or risk adjustment experience… more
- Amazon (Nashville, TN)
- …holistic, scalable solutions A day in the life The primary task of the Quality Specialist is to review the casework of Operations Specialists, ensuring that ... protecting the overall health of the network and mitigating risk to Amazon. DSP Performance Ops partners with multiple...casework adheres to the standard operation procedure. The Quality Specialist provides feedback about best practices… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... serve together. Visit nchjobs.org to learn more. JOB SUMMARY The Quality Improvement Clinical Documentation Integrity Specialist (QI-CDIS) responsibilities… more