- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Humana (Helena, MT)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical ... Centers 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)
- …for projects and daily work. * Research best practices in risk adjustment coding and reviews the professional literature for coding updates, maintaining ... we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for...Commercial Hierarchical Condition Category (HCC) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure compliance . *… 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 and is ... education and training will be conducted per Excellus payer risk adjustment coding guidelines and required of...and Teams. . Adept in Electronic Health Records and Professional Billing systems . High School Diploma or GED… more
- MedKoder (Mandeville, LA)
- …position that offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical ... risk adjustment -eligible encounters. The HCC Risk Adjustment Coder ensures compliance ...AAPC certified program with the achievement of the correlating professional credentials of CPC and CRC is REQUIRED. A… more
- Trinity Health (Columbus, OH)
- …diagnoses using Hierarchical Condition Category (HCC) coding methodologies. This role ensures compliance with industry standards, risk adjustment guidelines, ... diagnoses using Hierarchical Condition Category (HCC) coding methodologies. This role ensures compliance with industry standards, risk adjustment guidelines,… more
- Highmark Health (St. Paul, MN)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive training ... programs focused on value-based risk adjustment coding. This role ensures that...plays a critical role in optimizing coding accuracy, enhancing compliance , ensuring financial stability and profitability of the PHSO… more
- Amazon (Bellevue, WA)
- …field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, ... Description The Amazon Web Services Professional Services (ProServe) team is seeking a skilled...scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA, GDPR) - Strong communication skills… more
- Amazon (Arlington, VA)
- …field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, ... Description The Amazon Web Services Professional Services (ProServe) team is seeking a skilled...scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA, GDPR) - Strong communication skills… more