- Trinity Health (Albany, NY)
- …experience as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in value-based plans ... education. + Serves as a resource for appropriate clinical documentation and improvement, HCCs, risk adjustment model and VBP parameters and guidance for… more
- UPMC (Pittsburgh, PA)
- …+ Coordinate and present education of providers/practices related to risk adjustment , coding, and clinical documentation improvement. + Assess workflow ... to coding and documentation in the medical record and the various risk adjustment models of payment. The Physician Educator is responsible for education… more
- Evolent (Charleston, WV)
- …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
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment ... documentation , working closely with physicians, IPA coders, and risk adjustment teams associated with the health...or more years of experience in providing education to clinical and non- clinical staff, required + Understanding… more
- Sutter Health (Emeryville, CA)
- …requirements for Medicare Advantage and commercial plans. + Expertise in risk - adjustment methodologies and clinical documentation accuracy. + Familiarity ... management, and quality improvement. + Proven history in population health management, risk adjustment , and quality measurement (HEDIS, CMS Stars). + Experience… 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 (Augusta, ME)
- …+ 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
- University of Utah Health (Murray, UT)
- …issues and test changes. + Participates in change management procedures to support accurate risk adjustment team documentation and process flows. + Maintains ... responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's … more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete and ... role is a key strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive leaders of Risk… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …right for you, we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making ... coding policies to ensure accurate diagnosis coding. This position is responsible for risk adjustment coding and quality assurance validation for the following… more
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