- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... clinical chart reviews and advise on clinical best practices related to risk adjustment coding , HCC capture, and documentation improvement. + Performs other… more
- Datavant (Madison, WI)
- …bold vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our ... through the process if they agree the coder's initial coding was correct. + Answers coding questions...titles (eg, Software Engineer) rather than complex ones (eg, Senior Software Engineer). The range posted is for a… more
- Ankura (New York, NY)
- …Risk Adjustment data collection and submission activities as well as knowledge of Risk Adjustment coding requirements preferably with a Risk ... and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity ... key deliverables. Develop tracking and monitoring mechanisms for all Risk Adjustment and Coding programs....the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... key deliverables. Develop tracking and monitoring mechanisms for all Risk Adjustment and Coding programs....the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Centene Corporation (Jefferson City, MO)
- …+ 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding required + Medicare experience required + Demonstrated ... from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure data integrity, accuracy, completeness and adherence to leading practices in risk adjustment coding . * Identifies external partner opportunities, ... Your Responsibilities * Responsible for developing and implementing risk adjustment strategies to facilitate accurate and complete coding , reporting, and… more
- CareFirst (Baltimore, MD)
- …a critical role in the development and execution of the corporate risk adjustment strategy for the acquisition and coding of medical records. The role serves ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- Point32Health (Canton, MA)
- …identification of member health conditions. The Manager will build relationships and drive risk adjustment engagement with senior leaders at contracted ... The Manager will frequently present upon the effectiveness of risk adjustment initiatives and programs to both internal senior leaders and external… more
- Humana (Helena, MT)
- …make an impact** **Required Qualifications** + 5+ years of experience in risk adjustment coding /auditing/education and provider relations/engagement + ... caring community and help us put health first** The Senior Coding Educator will work closely with...gained from actual experience of chronic condition documentation and coding audits, risk adjustment program… more
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