- 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
- 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment ... 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 (Salt Lake City, UT)
- …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
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid ... in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
- UTMB Health (Galveston, TX)
- Senior Coder - RCO Coding **Galveston,...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional ... A high school diploma or GED and three years of multi-specialty coding experience. The senior coder must be proficient in coding Professional services,… more