Risk Adjustment Medical Records Retrieval Lead
MetroPlusHealth
MetroPlusHealth is seeking a Risk Adjustment Medical Record Retrieval Specialist in New York to lead efforts in retrieving medical records for our risk adjustment program. You will build and maintain contacts with medical facilities and retrieval vendors to ensure accurate, timely access to records across EHR systems, remote drop-boxes, and digital fax. You will organize records digitally, triage issues with facilities, and create plans for retrieval projects. #J-18808-Ljbffr MetroPlusHealth
$110 per hour
...and technical talent with leading AI research labs. Headquartered... ...Dorsey . Position: Risk-adjustment / HCC coding leader Type... ...regulatory compliance. Review medical records to ensure complete and... ...platforms and chart retrieval systems. Background in health...RiskContract workSummer workRemote work- Med Cap Health is seeking a Medical Records Retrieval & Payor Audit Specialist to join our team. This full-time role (1099) supports risk adjustment audits, HEDIS reviews, and RADV activities. You will coordinate retrieval, organize records, verify details, and ensure...RiskRemote jobFull time
- ...Enabling our teams with leading technology allows... ...The Director, Provider Risk Adjustment has a key leadership role... ...experience in medical coding or value-based... ...and electronic medical record systems is highly preferred... ...medical record repository, retrieval workflow technology,...RiskTemporary workRemote workFlexible hours
$85 per hour
...United States-based healthcare coding and risk adjustment professionals experienced in HCC... ...risk adjustment, RADV audit preparation, medical record review, documentation capture, and... ...capture rates, risk score accuracy, chart retrieval rates, and coding quality indicators...RiskRemote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hours$62.9k - $85.1k
Risk Adjustment Campaign Associate Hybrid role (3 days/week in office) at our Portland,... ...is also responsible for internal EMR medical record retrieval for all Risk Adjustment campaigns -... ...competitive base pay as well as a market-leading 401(k) with a significant company...RiskWork at officeImmediate startRemote workWork from homeFlexible hours3 days per week$22 - $24 per hour
4 Corner Resources is seeking a Medical Records Retrieval Coordinator to support a RADV risk adjustment initiative and CMS compliance requirements. The role is provider-facing and involves engaging hospital HIM departments and provider offices in a fast-paced environment...RiskHourly payContract workRemote workMonday to Friday$22 - $24 per hour
...Clinical Coding Retrieval Coordinator (RADV Medical Records) 4 Corner Resources is seeking a Clinical Coding Retrieval Coordinator to support a leading health plan's RADV risk adjustment initiatives and regulatory compliance requirements. This is a provider-facing role...RiskContract workWork at officeRemote work- ...Workforce Enablement Product Lead, you will help clients accelerate... ...Language Models (LLMs), Retrieval-Augmented Generation (RAG), embeddings... ...AI, AI governance, model risk, and enterprise AI adoption... ...everyone. If you need any adjustments at any stage, just let us know...RiskFull timeFlexible hours
- FTI Consulting is seeking a Senior Director, Healthcare Risk Management & Advisory in a hybrid role across New York, NY,... ...Washington, DC, Atlanta, GA, Chicago, IL and Columbia, SC. Lead reviews of medical records for coding accuracy and regulatory compliance. You will guide...Risk
$10k
...Knowledge Management Program Lead to build and scale the... ..., reduces operational risk, and sets us up to... ...controls, logging, and retrieval mechanisms within that... ...program, with a track record of building or scaling... ...subject to a geographic adjustment (according to a specific...RiskWork experience placement$150k - $200k
...Fractal. Role Overview Lead Architect - Ontology, AI, and... ...coverages, parties, products, risks, and losses. Develop semantic... ...-SQL, enterprise search, and retrieval patterns. ~ Strong... ...disclosed range estimate has not been adjusted for the applicable geographic...RiskHourly payFull timeLocal area- ...of NCAL.The Compliance Consultant IV, Medical Coding independently reviews inpatient,... ...professional, and supplemental medical records to assign supported ICD-10-CM diagnosis... ...role requires advanced proficiency in risk adjustment coding platforms, electronic medical records...RiskWork experience placement
- Advantmed is seeking experienced Medical Coders specializing in Risk Adjustment and HCC coding. The ideal candidate holds CPC or CCS certification and will code diagnoses and procedures in ICD-10-CM, CMS-HCC, ensuring accuracy and compliance. This remote, US-based role...RiskRemote job
$84 per hour
...creative and technical talent with leading AI research labs.... ...procedures, severity of illness, and risk of mortality. Develop and... .... Ability to interpret medical records and clinical documentation.... ...Experience with HCC risk adjustment and outpatient CDI programs...RiskContract workSummer workRemote work$134.5k - $265.1k
...Manager - Commodity Solutions Lead - Enterprise Operations & RiskOur Deloitte Regulatory, Risk & Forensic team helps client leaders... ...range estimate has not been adjusted for the applicable geographic... ...including arrest or conviction records, will be considered for employment...RiskLocal area$130.97k - $183.68k
...Apply NowGet to Know the Opportunity:The Lead AI Product Manager is a senior individual... ...business, technology, compliance, legal, and risk functions, the Lead AI Product Manager... ....Strong knowledge of LLM-based products, retrieval-augmented generation (RAG), agentic...RiskFull timePart timeWork experience placementLocal areaWork from homeFlexible hours- All Jobs > Bodily Injury Claims Adjuster Fully Remote • AL, AZ, CA, FL... ...of insurance policies, medical terminology, and legal principles... ..., including reviewing medical records, police reports, and witness statements... ...complex claims and mitigate risk. Maintain accurate and...RiskFull timeWork experience placementWork at officeRemote work
$200k - $300k
...businessWhat you’ll doAs the Linux Security Lead, you will own and drive a consistent and... ...paths, and reducing MTTR for high-risk deviations.Integrate Linux posture signals... ...manager through delivering superior risk-adjusted returns, adhering to the highest ethical...RiskWork experience placementWorldwide$116.2k - $229.1k
...best practices, and managing risks and stakeholder communications... ...professional relationshipsAbility to lead projects or workstreamsAbility... ...range estimate has not been adjusted for the applicable geographic... ...arrest or conviction records, will be considered for employment...RiskLocal area- ...Job Description Job Description Position:Manager of Risk Adjustment AnalyticsLocation: Hybrid (Must Reside in NY/NJ/CT)Work Schedule:... ...decisions, and improvement priorities.Key responsibilities include leading risk adjustment analytics with an initial emphasis on...RiskContract workMonday to Friday
- ...RoleAs our Central Expansion Lead, you own how Gigs enters new markets... ...legal, and hiring — surfacing risks before they become delays and... ...Are Looking ForA real track record of launching markets at pace:... ...document your reasoning, and adjust fast when you're wrong.Comfortable...RiskWork at officeLocal areaRemote workWork from homeHome officeDay shift
$235k - $350k
Team Lead, Product Management - Quantitative Data Solutions Location... ..., portfolio decisions and risk views. The successful... ...and revenue performance, and adjust the roadmap based on evidence... ...paid holidays, paid time off, medical, dental, vision, short and long...RiskTemporary workFor contractorsWork experience placement$115.4k - $192.3k
What we do at LexisNexis Risk SolutionsLexisNexis Risk Solutions provides customers with... ...hereAbout the roleAs an Analytics Team Lead, you will provide technical and project leadership... ...need that requires accommodation or adjustment, please let us know by completing our...RiskFull timeLocal areaImmediate startRemote work- Virtix Health LLC is seeking a Director to lead Provider Risk Adjustment programs, focusing on risk-based care initiatives and provider documentation quality. This role manages client relationships, ensures SLA adherence, and drives performance across HIM coding activities...RiskRemote job
$103.45k - $169.96k
...Organization Readiness Program Lead, you will execute on and... ...initiatives, opportunities and risks.Support the implementation and... ...active listening skillsAbility to adjust communication style and... ...pregnancy, childbirth, or related medical conditions, unless doing so would...RiskFull timeWork experience placementH1bWork at officeRemote workVisa sponsorshipWork visaFlexible hours3 days per week- A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years of experience in product management within healthcare, a strong understanding of Value-Based Care...RiskRemote job
$158.31k - $193.49k
...and Solution Engineering Team Lead reports to the PMI Healthcare... ...ecosystems, Electronic Health Record (EHR) platforms, practice management... ...expertise across the team.Risk & ComplianceActively ensures... ...include the following:Healthcare (medical, dental, vision)Basic term and...RiskFull timeLocal area- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...RiskRemote job
$177.7k - $296.1k
...Underwriter - Northeast Territory Lead We are adding to our... ...exceptional underwriting, claims, and risk management expertise to our... ...RMS Successful track record of developing and maintaining... ...locations. The offer will be adjusted per geography. The base salary...RiskTemporary work- ...has been helping farmers manage risk since 1915 and is one of the... ...on seasonal needs. As a Crop Adjuster, You Will Understand and work... ...appraisals, releases, statements, records, or other documents) in the... ...time employees have access to medical, dental, and vision coverage,...RiskFull timePart timeSeasonal work
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