Hybrid Risk Adjustment Coder—CMS/HCC Expert
Sentara Healthcare Inc
Sentara Medical Group in Virginia Beach, VA is seeking a full-time hybrid Risk Adjustment Coder to ensure accurate CMS/HHS risk adjustment documentation. The role blends remote and in-office work, with 1-2 days on site weekly and travel as needed to support team objectives. The position requires 1 year Medical Records Data experience and 2 years Coding experience, plus certification options including CPC/COC/CIC etc. #J-18808-Ljbffr Sentara Healthcare Inc
- ...Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA! Hours... ...& Medicaid Services (CMS) and U.S. Department of Health... ...Hierarchical Condition Categories (HCC). Supports risk adjustment... .... Serves as subject matter expert on risk adjustment diagnosis...CmsRiskFull timeWork at officeImmediate startRemote workMonday to FridayDay shift2 days per week1 day per week
- ...Health Plans in Virginia Beach, VA is seeking a Risk Adjustment Coder to perform compliance activities related to CMS/HHS risk adjustment and RADV audits. You will review... ...and facility coding to ensure accurate HCC capture and support vendor and internal audits. The...CmsRiskRemote job
- ## Risk Adjustment CoderApplyremote type: Hybridlocations: SMG... ...Medicare & Medicaid Services (CMS) and U.S. Department of... ...Condition Categories (HCC). Supports risk... ...Serves as subject matter expert on risk adjustment diagnosis... ...Certified Professional Coder (CPC), Certified...CmsRiskFull timeTemporary workWork at officeRemote workShift work
- ...for assigned providers to ensure accurate documentation and risk adjustment capture. The role includes quarterly reviews, targeted education... ...tools, with travel within the defined market. Facilities a hybrid/remote work model, with standard hours and quarterly travel as...RiskRemote job
$59.3k - $80.9k
...compliance, and performance in risk adjustment and value‑based care... ...Support Participate in a daily coder helpdesk (virtual/Zoom‑based)... ...responsiveness and provider engagement. HCC Outage and Recapture Support... ...Work Information Workstyle: Hybrid/remote. Location: Must...RiskBi-weekly payImmediate startRemote workWork from homeRelocation packageMonday to Friday$248.5k - $373k
...provide expertise in population health, risk adjustment and quality. They will work collaboratively... ...teams about Medicare Risk Adjustment, CMS STARs/HEDIS, and overall population... ...Physicians, APRN, Physician Assistants, Coders, Schedulers, Managers, Directors, and Executives...CmsRiskMinimum wageFull timeWork experience placementLocal areaRemote workNight shift$105k - $130k
...education or similar projects plus experience in Design/Build and CM at Risk project delivery methods is desirable Certified Energy... ...we prioritize a healthy work/life balance and offer a flexible hybrid working schedule. JMT offers a hybrid work schedule. The selected...CmsRiskLocal areaFlexible hours3 days per week- ...is seeking a highly qualified Counterintelligence Subject Matter Expert for a full-time position in the Hampton Roads Virginia area. The... ...deep CI analysis expertise, deep knowledge of technical CI risk mitigation, proven operational experience, and the ability to support...RiskFull time
$130k - $150k
...education or similar projects plus experience in Design/Build and CM at Risk project delivery methods is desirable Working Conditions... ...we prioritize a healthy work/life balance and offer a flexible hybrid working schedule. JMT offers a hybrid work schedule. The...CmsRiskContract workFor contractorsLocal areaFlexible hours3 days per week- ...adherence, and improve outcomes often from home or with flexible hybrid schedules. Key responsibilities # Perform comprehensive... ...on safe, effective medication use. # Maintain compliance with cms mtm program requirements and quality metrics. What you'll bring...CmsRemote jobFlexible hours
- ...Job Title: REL System Analyst Location: Hybrid reporting to Vienna or Pensacola, FL Hours: 9:30am - 6:00pm EST (possibly flexible... ...Support leadership updates with concise summaries of incidents, risks, and resolutions. Business Analysis & Process Improvement •...CmsRiskFull timeContract workFor contractorsWork at officeLocal areaFlexible hours
$173.08k - $276.47k
...including but not limited to; scheduling, estimating, cost control, risk management, document control and project management information... ...as technical advisor on complex projects and subject matter expert in their specialty. Provides guidance and mentorship and may lead...CmsRiskFull timeContract workFor contractors- ...activities to manage the program governance, risk management, and stakeholder management.... ...have the flexibility to work remotely, hybrid or in an office that is local to them. Candidates... ...plan, monitoring progress, and making adjustments as necessary to maximize outcomes....RiskFull timeTemporary workWork experience placementWork at officeLocal areaRemote work
- ...activities, track milestones, and maintain project documentation. The hybrid role combines onsite collaboration with remote work and requires... ...assist in developing schedules, gather requirements, manage risks and dependencies, and contribute to governance processes while...RiskRemote work
$71k - $96k
...delivery methods, plan and support market sounding and industry outreach, develop Requests for Qualifications and Proposals, identify risk and recommend mitigation strategies, help coordinate project managers and subject matter specialists for specification and scope...CmsRiskContract workFor contractors- ...Job Description We’re not looking for another button-pusher. CMS Mortgage is searching for a Marketing Manager who wants to build... ...Industry. You set trends, not follow them. You’re not afraid to take risks and own the outcome. What You Bring: ~3+ years in digital...CmsRiskFlexible hours
- ...security, application, and integration layers Serve as the program's CMS-facing technical authority Set and own the architecture... ...architectural guidance to all engineering teams; identify technical risk and mandate mitigation strategies Mentor senior technical...CmsRiskRemote work
$5,000 per month
...remedies). Ensure laboratory tests required for monitoring high-risk medications are appropriately ordered, reviewed, and communicated... ..., medication safety practices, and regulatory standards (CMS, DEA, FDA). Proficiency in electronic medical records and pharmacy...CmsRiskFull timeMonday to FridayFlexible hoursShift work- Valkyrie Enterprises in Virginia Beach, VA, is seeking a Provisioning Specialist to develop and maintain provisioning technical documentation for SSDS and ICS baselines, including APLs. You will create top-down equipment breakdowns and manage provisioning actions for ICAPS...
$160 per day
...gives SMG providers many benefits, including reduced individual risks, money-saving efficiencies, and the support and resources of a nationally... .... ~ Not-for-profit mission National Recognitions: Top CMS Ratings: Eight Sentara hospitals earned 4- or 5-star ratings in...CmsRiskTemporary workReliefRemote workFlexible hoursNight shiftRotating shift- ...data quality audits, controls, and monitoring tools • Plan and lead data cleansing and remediation initiatives # Security & Risk Management • Partner with Information Security, HR Data Governance and HR Data teams to implement controls such as: o Role...CmsRiskFull timeContract workLocal areaRemote work
- ...design packages reach appropriate maturity for permit submissions and construction start. Manage schedules, budgets, milestones, risk registers, decision logs, and recurring status reporting. Drive constructability reviews and value engineering. Support...CmsRiskContract workFor contractorsImmediate startRemote work
$116k - $231k
...sustainability, and infrastructure resilience. We bring together experts across disciplines to solve complex challenges with bold... ...include schedule management, cost management, change management, risk management, and document management. Manage and direct a team of...CmsRiskFull timeContract workTemporary workPart time- ..., and clinically necessary program updates. Analyze data and adjust programming based on client progress and treatment integrity.... ...assigned caseload responsibilities while communicating barriers and risks early. Follow BACB ethics requirements and all applicable...Risk
- Seneca Resources is seeking a creative and detail-oriented Instructional Designer to develop engaging, learner-centered training solutions using Articulate Rise 360 and Articulate Storyline. This contract role involves collaborating with SMEs and stakeholders to analyze...Contract work
- ...Responsibilities Support project strategy, planning, scheduling, and coordination activities across a small portfolio of cybersecurity risk assessment projects. Maintain project plans, milestones, dependencies, risks, issues, and action items using Azure DevOps (ADO),...CmsRiskFull timeContract workWork at officeLocal areaRemote work
- Sentara Health Plans in Virginia Beach is seeking a Risk Manager to lead the facility's risk management program and coordinate insurance... ...and risk financing. You will manage claims, interface with adjusters and defense counsel, and develop loss control strategies with...Risk
- ...Job Overview: Nemean is seeking a Training Subject Matter Expert (SME) to support Naval Special Warfare Command (NAVSPECWARCOM) in... ...DoD instructional design methodologies. ~ Familiarity with high-risk training safety standards. ~ Current BLS-AED/CPR certification...RiskLocal area
- Sentara Health in Virginia Beach is seeking a Risk Manager to lead the facility's risk management program, coordinate insurance coverage and risk financing, and oversee claims alongside adjusters and defense counsel. You will develop loss control strategies, analyze risk...Risk
- ...Risk ManagerResponsible for the facility/division's risk management activities, which include coordinating insurance coverage and... ...claims against the division/facility, interfacing with claims adjusters and defense legal counsel.Also responsible for coordinating and...RiskTemporary workRemote work
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