- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The Risk Adjustment Medical Record Retrieval team at BCBST is seeing a ** Medical Record Retrieval Specialist** to join our team\. This position ... TN area\.** Preferred candidates will have experience with medical records and Electronic Medical Record system\(s\)\. You will be a great match for… more
- Tufts Medicine (Burlington, MA)
- …improve overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical records to determine if diagnostic codes ... the greater Boston region. **Job Overview** Under the director of the Director, Risk Adjustment Operations, performs accurate and timely reviews and validations… more
- Corewell Health (Grand Rapids, MI)
- …the point of care.3. Mitigate risk by identifying opportunities in the medical record for improvement and education.4. To completely and accurately submit ... To partner with provider offices to obtain the right medical records at the right time and...7 years of relevant experience in Risk Adjustment in a health plan or medical … more
- The Cigna Group (Bloomfield, CT)
- … Adjustment Data Validation audits (RADV), Risk Adjustment operations, Risk Adjustment medical record and diagnosis coding excellence, ... Clinic, and CMS guidelines for IFP code abstraction and medical record compliance + Demonstrates comprehensive understanding...and have excellent organization skills + Risk Adjustment /CMS knowledge helpful + Understanding of medical … more
- Datavant (Concord, NH)
- …Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician workflow, and/or electronic health record systems + Advanced ... between internal resources and customers in support of custom risk adjustment projects and reports on project...work environment + Detail oriented, self‐starter with proven track record of execution and results + Team player with… more
- Blue KC (Kansas City, MO)
- … medical records to ensure proper coding and compliance with risk adjustment requirements + Monitorrisk adjustment vendors to ensure performance ... **Employee discount program** **Job Description Summary:** The Director, Government Programs Risk Adjustment & Audit assumes overall leadership of the… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Risk Adjustment Auditor Educator** -St. Peter's Health Partners - Full-time - Remote ... **POSITION PURPOSE:** A Risk Adjustment Auditor Educator is responsible for...required and + Auditing - Certified Auditor Certified Professional Medical Auditor (CPMA) required and + Education - 5+… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of ... Medicare Risk Adjustment and Analytics. This role will...strategies and tactics designed to ensure complete and accurate medical record documentation and coding. The Program… more
- Elevance Health (Woodbridge, NJ)
- **Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... unless an accommodation is granted as required by law._ The **Medicare Risk Adjustment Advanced Analytics Analyst** is responsible for employing advanced… more
- LA Care Health Plan (Los Angeles, CA)
- Risk Adjustment Strategies and Initiatives Analytics Program Manager II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & ... net required to achieve that purpose. Job Summary The Risk Adjustment Strategies and Initiatives Analytics Program...Owner(s) to develop communications plan, test plan, training plan, risk management/mitigation plan, and plan of record .… more
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