CMS Risk Adjustment Coding Specialist
CenCal Health
The CenCal Health Risk Adjustment Coder Specialist ensures accurate medical diagnosis data submission to CMS for the Medicare Advantage D-SNP line of business. This role optimizes diagnosis documentation, identifies barriers to appropriate risk adjustment, oversees outsourced vendor coding for CMS compliance, and educates providers on accurate coding to support compliant risk adjustment. Responsibilities include reviewing records for CMS-HCC alignment, supervising vendor coding activities, #J-18808-Ljbffr CenCal Health
$31.17 - $45.2 per hour
...Salary Range: $31.17 - $45.20 Job Summary The Risk Adjustment Coder Specialist ensures accurate medical diagnosis data submission to CMS for CenCal Health Medicare Advantage D-SNP... ...adjustment, oversees outsourced vendor coding for CMS compliance, and partners with provider...CmsRiskWork at office- Paycom - ATS is seeking a Risk Adjustment Coder Specialist to ensure accurate medical diagnosis data submission to CMS for CenCal Health Medicare Advantage D-SNP. You will optimize documentation, oversee vendor coding, and educate providers on risk adjustment standards....CmsRisk
- ...Director of Nursing will oversee preventive safety measures and risk management duties, and use their clinical and leadership experience... ...the ASC Accreditation process preferred.· Working knowledge of CMS, California state/federal laws, OSHA, HIPAA, and AAAHC.· Ability...CmsRisk
$107.05k - $160.58k
...as a primary clinical resource for high-risk members, working collaboratively with providers... ...knowledge of and compliance with CMS, DHCS, Medi-Cal, and internal policies related... ...of care. Collaborate with PCPs and specialists electronically and/or by phone to integrate...CmsRiskFull timeWork at officeLocal areaRelocationRelocation package$67.6k - $95.2k
Position overview Position title: Assistant/Associate Specialist Salary range: The budgeted salary for this position at 100% time is $67... ...monitoring, assessment, and mitigation work associated with wildfire risk and vulnerability, communicate with agencies, community groups,...RiskSeasonal workWork at officeLocal areaRemote work$104k - $130k
...Here, innovation is a team sport.As a Vulnerability Management Specialist, you will contribute to security initiatives and work on high-impact... ...systems (Linux, MacOS, Windows)Ability to assess security risks associated with vulnernabilities and prioritize them using existing...RiskFull timeLocal areaImmediate startFlexible hours- ...Asset Protection SpecialistPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ...carry out job responsibilities in a manner that minimizes the risk of injury to themselves, other associates, vendors, customers,...Risk
$23 per hour
...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by... ...carry out job responsibilities in a manner that minimizes the risk of injury to themselves, other associates, vendors, customers,...RiskLocal area$38.84 - $47.23 per hour
...Santa Barbara County accounting policies, codes, regulations, and procedures; chart of... ...Assessment to be placed on an employment list. An adjustment may be made to raw scores based on... ...contact with patients or clients in a high-risk environment to comply with the County...RiskHourly payFull timePart timeWork at officeTrial periodShift workWeekend work- ...Demonstrates solid understanding of the current marketplace and trends ~ Knowledge of payor systems, billing, coding and reimbursement processes ~ Knowledge of CMS policies and processes ~ Documented ability to work with sales force to resolve payor related issues ~...CmsContract workLocal areaRemote workHome officeFlexible hours
$22 - $30 per hour
...accommodation or an alternative application process. Banking Center Specialist - Goleta, CA Regular Full-Time 401k eligible Goleta, CA, US 2... ...dispute forms. Review ATM deposits to identify potential risks. Initiate a hold or other appropriate action. Minimum Qualifications...RiskHourly payFull timeWork at office$50.05 - $60.24 per hour
...data to monitor and identify populations at risk, the results of health studies, and... ...plans, coordinates, and directs collection, coding, and entry of data; develops, maintains,... ...Rating to be placed on an employment list. An adjustment may be made to raw scores based on...RiskHourly payFull timePart timeLocal area$115.2k - $165k
...Practice Ready to shape smarter aviation risk solutions? Bring your analytical,... ...different: Aon's 150+ global aviation specialists provide risk management and broking solutions... ...market data. The salary may also be adjusted based on applicant's geographic location...RiskFull timeTemporary workPart timeLocal area- Yardi Systems, Inc. is seeking an Associate Risk Analyst to help protect against fraud and financial risk in payment processes. You will monitor transactions, investigate suspicious activity, and analyze data to identify trends and threats, working with AML/KYC and risk...Risk
$200k - $270k
.... Drive consistency in project delivery, leveraging best practices and standardized tools across teams. Identify and mitigate risks associated with W/WW projects and operations, ensuring the safety and success of all initiatives. Drive continuous improvement in...CmsRiskWork at officeLocal area- ...facility policies, including: Patient safety Infection prevention and control Risk management ~ Adhere to all applicable CMS, State, CDC, and AAAHC standards and regulations. Communication &...CmsRiskLocal area
- ...to ensure clinical documentation integrity and coding accuracy. This role is essential for minimizing audit risks, optimizing revenue cycle performance, and supporting... .... Collaborate with clinical trainers, billing specialists, scribes and physicians to provide targeted...RiskFull timeRemote work
$85.72k - $122.72k
...including training all campus staff on dementia care. # Serves as member of various Management Committees as assigned/ requested. # Risk management and safety compliance including occurrence reporting, investigation and root cause analysis QUALIFICATIONS This...RiskFull timeLocal area$67.5k - $97.9k
...apply contract requirements and reduce financial and compliance risk.This position provides a central point of coordination for... ...recruitment process is accessible to all. If you require reasonable adjustments to be made during the recruitment process then please inform a...RiskFull timeContract workTemporary workPart timeCasual workLocal areaWorldwideFlexible hours$200k - $250k
...project management and quality control plans, and adequacy of risk management plans.Provide leadership and oversight to ensure quality... ...self-leadership with attention to detail, multi-tasking, and adjusting readily to the changing prioritization of responsibilities in a...RiskFull timeContract workFor contractorsFor subcontractorWork at officeLocal areaFlexible hours$32.69 - $36.77 per hour
As an Associate Risk Analyst, you will play a key role inprotecting the organization from fraud and financial risk. You will monitorpayment transactions, investigate suspicious activity, and analyze data toidentify emerging trends and potential threats. Working closely...RiskWork at officeFlexible hours- ...operational efficiency through effective store merchandising, creating a clean, organized, and visually appealing shopping environment.Risk & Safety Compliance – Enforce Personal Protective Equipment (PPE) use, promote workplace safety, and assist in risk management...RiskFull timeTemporary workPart timeLocal areaFlexible hoursWeekend workAfternoon shift
$177.5k - $275.2k
...business development leaders, and technical specialists across Stantec’s Transportation practice... ..., including scope, schedule, budget, risk, and quality management.Proven ability... ...accessible to all. If you require reasonable adjustments to be made during the recruitment...RiskContract workWork at officeLocal areaFlexible hours- 68W Combat Medic Specialist Job Overview: Jumpstart your medical career! As an Army Medic, you are the front line in delivering life-saving emergency medical services to individuals in need. This dynamic and challenging position requires quick thinking, compassion...Full timeContract workPart timeImmediate startRelocation packageFlexible hours
$60k - $72.5k
...essential functions. Participates in engagement planning Participates in risk assessments Performs analytical reviews Documents internal... ...practices. Strong understanding of the rules, regulations, and code of conduct. Working knowledge of the auditing guidance utilized by...RiskFlexible hours$2,530 per week
...that will take care of you from start to finish, look no further than Travel Nurses, Inc. We have the most detailed recruitment specialists in the industry and work tirelessly to ensure your onboarding process is stress-free. We understand contract transparency is a...CmsFull timeContract workImmediate startFlexible hoursShift work$59.57 - $89.35 per hour
...specially trained ED Psych RNs.Our department is built on a foundation of excellence and teamwork, which is reflected in our 4-star CMS rating for Patient Satisfaction and recognition as a global leader in patient satisfaction by Newsweek. You will work alongside some...CmsHourly payRelocation packageAll shiftsShift work- ...collaborative treatment plans. You’ll document care in our EHR, coordinate with psychiatrists and other providers, and support patients with risk assessments and crisis intervention as needed. Join a mission-driven, patient-first, and collaborative team expanding access to...RiskRemote work
$16.9 - $24.9 per hour
...Delivery Specialist Compensation Pay Range: $16.90 - $24.90 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging...Hourly payMinimum wageLocal areaImmediate startFlexible hours$90k - $110k
...in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. We seek individuals who thrive in a dynamic environment, embrace continuous learning, and are passionate...RiskFull timeWork at officeLong distance
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