- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …identify opportunities for performance improvement and further education . + Summarize and provide feedback to risk adjustment and/or provider group ... Establish and maintain collaborative relationships with assigned providers / provider offices to improve risk adjustment... Adjustment Coding/Auditing and experience with direct provider education + Health Insurance/ managed care… more
- Centene Corporation (Oklahoma City, OK)
- …sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment . Provides education for HEDIS measures, appropriate ... and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment ...encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider… more
- HCA Healthcare (Campbell, CA)
- …We care like family! Jump-start your career as a(an) Manager of Quality - Risk Adjustment Programs today with HCA Healthcare. **Benefits** HCA Healthcare, offers ... join our team as a(an) Manager of Quality - Risk Adjustment Programs. We care for our...urgent care centers. We are HCA Healthcare's graduate medical education leader. We provide direction for over… more
- Excellus BlueCross BlueShield (Buffalo, 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
- Commonwealth Care Alliance (Boston, MA)
- …claims, encounters, diagnoses, and provider data. + Familiarity with CMS risk adjustment methodologies and HCC coding preferred. + Experience with data ... the Director of Encounter Data Management within the Revenue Cycle Department, the ** Risk Adjustment Data Developer** is responsible for the design, development,… more
- Fairview Health Services (St. Paul, MN)
- …Coder - Hospital (CPC-H), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), Certified Risk Adjustment Coder (CRC) **Preferred** Education + ... documentation for clinical conditions and procedures to reflect severity of illness, risk adjustment , accurate coding, accuracy of patient outcomes, and… more
- CareOregon (Portland, OR)
- …Responsibilities Reporting + Provide dashboards, reports, and analysis related to risk adjustment activities. + Prepare annual receivable estimate for final ... Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Risk Adjustment Analyst Department Finance Exemption Status Exempt Requisition… more
- Commonwealth Care Alliance (Boston, MA)
- …without reminders or prompting from management. * Working knowledge of the provider -based healthcare industry and Risk Adjustment preferred. Required ... 011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible...ensuring all identified gaps are addressed timely * Support Provider Network Management * Associate will be responsible for… more
- MedKoder (Mandeville, LA)
- …a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and specialized ... government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health systems… more
- MVP Health Care (Schenectady, NY)
- …data sources to identify members with likely risk gaps across. + Provide regular reporting of Risk Adjustment programs and identify opportunities ... Professional, Risk Adjustment Analyst Headquarters Office, 625...abilities along with proven ability to analyze, report and provide insight on large sets of data + Intermediate… more