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**Medicare Risk Adjustment Coding Analyst Certified**
**Department:** HA - Risk Adjstmt & Med Ecnmcs **Usual Schedule:** 8-5 **Entity:** Carle Foundation **On Call Requirements:** none **Job Category:** Insurance **Work Location:** HA at The Fields *...
Risk
Holiday work
Full time
Shift work
Weekend work
...Overview
The Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial accuracy and ensure program compliance with governing bodies...
Risk
Local area
...equitable work environment.
About the Role
Support CHPW’s risk adjustment activities, advancing the effectiveness and value of... ...healthcare claims/encounter data
Have Experience in Commercial, Medicare and/or Medicaid Risk Adjustment models
Proven analytical and...
Risk
Holiday work
Full time
Temporary work
Part time
Trial period
Flexible hours
...regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code abstraction for... ...; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation...
Risk
Permanent employment
...Permanente Medical Group (MAPMG) invites applications for a Risk Adjustment Manager to join our Operational Finance department. This position... ...-system environments is required
Extensive Knowledge of Medicare Advantage and/or Affordable Care Act rules and regulations,...
Risk
Holiday work
Full time
Temporary work
Relocation
...Create an equitable work environment.
About the Role
As a Risk Adjustment Coder for Community Health Plan of Washington, you will be... ...Have a minimum of 2-3 years of experience with Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Categories...
Risk
Hourly pay
Holiday work
Full time
Temporary work
Part time
For contractors
Trial period
Flexible hours
...Risk Adjustment Analyst page is loaded **Risk Adjustment Analyst**
**Risk Adjustment Analyst**
locationsBoise, ID time typeFull time posted... ...submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations...
Risk
Work experience placement
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...excellence, justice, teamwork and wholeness.
The Coder Auditor-Risk Adjustment is responsible for the reconciliation of Clinical... ...submission as outlined within Risk Adjustment Health Plans (i.e. Medicare Advantage). Evaluates provider documentation in context of completed...
Risk
Full time
Remote job
Day shift
...predictive data and analytics to identify at-risk patients. Strive Health's interventions... ...compassionate kidney care.
Risk Adjustment Coding Analyst
The Risk Adjustment... ...guidelines established by the Center for Medicare and Medicaid Services (CMS) and the...
Risk
Holiday work
Local area
Flexible hours
...Clarity on the Role:
Wellvana is looking for a Certified Risk Adjustor to perform concurrent, prospective, and retrospective... ...completeness of patient medical records, which are essential for risk adjustment and determining appropriate reimbursement in value-based care...
Risk
Full time
...Senior Program Manager, Risk Adjustment
IntraCare Health Center (DFW Healthcare MSO) operates owned and affiliated Primary Care Clinics... ...to do the same in 2024, beyond that, the company is entering Medicare Advantage Risk with our owned providers and use our depth in...
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Offshore
...Responsible for educating and advising providers and practice staff in Medicare coding guidelines, focusing on revenue enhancement... ...procedures, manages time well, handles information flow.
Risk adjustment chart reviews.
Educate physicians and office staff on coding...
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Work experience placement
Remote job
Home office
Without location
**Risk Adjustment Quality Coding Manager**
**Job Ref:** 74850
**Category:** Professional
**Department:** ANALYTICS AND REPORTING
**Location... ..., but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus...
Risk
Full time
**Senior Risk Adjustment Business Analyst**
at Bright Health Bloomington, Minnesota, United States
**Our Mission is to Make Healthcare... ...vendors to deliver a best in class processes and analytics for our Medicare business.
**ROLE RESPONSIBILITIES**
The Senior Risk...
Risk
For contractors
For subcontractor
Local area
Work from home
...Job Description:
Summary:
The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making and implementation... ...knowledge and experience of ICD-9-CM/ICD-10-CM coding, Medicare Advantage and Commercial Hierarchical Condition Category (HCC...
Risk
Holiday work
Remote job
Work from home
Home office
...Delaware
Job Summary:
This position will perform care management duties specifically targeting high-risk members within Medicare Advantage/Commercial risk adjusted populations to enhance the deployment of risk adjustment tactics. This position will work closely with...
Risk
Local area
...Description
Job Title: Risk Adjustment Coordinator
Department: Quality - Risk Adjustment
About the Role:
The Risk Adjustment Coordinator is responsible for communicating with providers and providing services to a wide range of internal and external contacts...
Risk
Hourly pay
...please keep reading! The CSI Companies is hiring a Remote Sr. Risk Adjustment Coding Consultant for our Fortune 100 healthcare client.... ...Experience:
Minimum 2 years of coding experience
Medicare Risk Adjustment / HCC Experience (or see * below)
Active...
Risk
Remote job
Weekly pay
Contract work
For contractors
Fixed term contract
Immediate start
Work from home
Home office
**Position Overview:** The Risk Adjustment Coding Manager will lead our risk adjustment efforts to achieve effective documentation and coding practices while improving provider relationships. The Manager will identify and maximize practice and process improvement opportunities...
Risk
Holiday work
Work experience placement
Local area
Remote job
Flexible hours
...Location:
Location:
** Coding Specialist Risk Adjustment - CPC at AdventHealth**
**Date Posted:** 1/19/2022 **Location:**
**Job Description... ..., archiving records for storage
**Job Summary:**
The Medicare Risk Adjustment Coding Specialist coordinates and supports...
Risk
Full time
Local area
Shift work
Monday to Friday
