Average salary: $54,216 /yearly
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- Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 * Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation (RADV) timelines, focusing on completeness and accuracy of provider documentation concerning...RiskWork experience placementWork at office
- ...clinical ethics. Our core values are compassion, integrity, humility, excellence, justice, teamwork, and wholeness. Position: Coder 1 - Risk Adjustment The Coder 1 - Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation...RiskWork at office
- Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness...RiskWork experience placementWork at office
$19.6 per hour
...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskFull timeWork at officeRemote workFlexible hours$139.26k - $222.77k
...hours impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can be a manager in an organization... ...education program for network physicians + Ensure internal HCC coders meet minimum coding performance guidelines + Evaluate and...RiskFull timeTemporary workPart timeWork at officeFlexible hours- Medical Director, Risk Adjustment Southern California preferred; Clark & Pima Counties, NV — Travel Required CareMore Health Make an Impact... ...advise from afar — you’ll partner closely with providers, coders, and cross-functional leaders to ensure the integrity, accuracy...Risk
- Risk Adjustment Coding Specialist:Central Valley Medical Providers in Fresno, CA Position Summary: A great opportunity to workdirectly with... ...Qualifications and/or Experience: CRC-Certified Risk Adjustment Coder OR CPC-CertifiedProfessional Coder OR AHMA or AAPC Coding...RiskFull timeWork at office
$44.13 - $57.36 per hour
...Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies,...RiskHourly payWork experience placementWork at officeLocal area$75k - $85k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday$75k - $85k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at officeMonday to Friday$192.15k - $240.19k
...Job Description Summary The Medical Director, Risk Adjustment - will serve as the clinical expert responsible for advancing CareMore Health's risk adjustment strategy. This physician expert will guide providers in accurate and complete documentation of patient complexity...RiskMosaic Health
Cerritos, CA2 days ago- ...Responsibilities ***This position is remote. Position Summary: The Risk Adjustment Audit and Compliance Specialist conducts audits to measure... ...Organization (PHSO) function, specifically the Value-based Coders and the Risk Adjustment Coding and Training Specialist, to...RiskWork at officeLocal areaRemote workFlexible hours
- Overview: The Data Analyst II will play a key role in supporting multiple initiatives across our risk adjustment programs. This position is responsible for driving operational excellence in chart retrieval and vendor management through data analysis, provider engagement...RiskLocal area
$200k - $280k
...Medical Director, Risk Adjustment Los Angeles, CA (Hybrid) Compensation: $200,000 $280,000 per year + Bonus Schedule: Full-Time | Hybrid (Onsite & Remote) Overview: Were seeking a Medical Director, Risk Adjustment to lead and advance our clinical risk adjustment...RiskFull timeRemote work$71.3k - $82.6k
...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placementRemote work- ...advancement and growth within the organization Competitive benefits and compensation package Work with a dedicated team on national risk adjustment studies Engage in meaningful work that influences healthcare outcomes Chance to develop and lead actuarial studies,...RiskRemote jobImmediate start
- Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions...RiskWork at office
$70k - $84k
...realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours$97.34k
...The Job Earn an annual salary up to $97,344. The Department of Risk Management is recruiting for Workers' Compensation Adjusters who receive and review workers' compensation claims and reports and determine if occupational illness or injury is compensable; develop documentation...RiskHourly payTemporary workRemote workVisa sponsorshipFlexible hours$35.46 per hour
Overview Staffmark is hiring an experienced Workers' Compensation Claims Adjuster for a leading risk management company in San Bernardino. If you're skilled in handling complex and litigated claims, this is your chance to join a professional team that values your expertise...RiskWeekly payTemporary workFor contractorsLocal areaMonday to Friday- ...Supervising Workers' Compensation Adjuster The Risk Management Department is recruiting for a Supervising Workers' Compensation Adjuster who, under direction, supervises the activities of the Workers' Compensation Division of the Risk Management Department. Duties...RiskFull timeTemporary workWork experience placementImmediate startRemote workVisa sponsorshipFlexible hours
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide...RiskWork experience placementImmediate start
- Bargaining Unit: Local 21 - Non-Supervisory Management Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program is unique as it is not only self-insured, but also self-...RiskPermanent employmentFull timeTemporary workWork at officeLocal areaImmediate startRemote work
$24.18 - $33.27 per hour
...Part-Time RCIS Crop Claims Field Adjuster I Zurich is currently looking for a Part-Time Crop Adjuster to join our Rural Community Insurance... ...plans through the United States Department of Agriculture's Risk Management Agency. Together with RCIS agents, we protect America...RiskHourly payTemporary workPart timeWork at officeLocal areaWork from home- ...As a leading provider of crop insurance and other agricultural risk management tools, we recognize that our success is derived directly... ...generations to come. This job is primarily responsible for adjusting both Multi-Peril Crop Insurance (MPCI), Private Products and...RiskFull timeWork at officeWork from homeWorldwideHome officeFlexible hoursWeekend work
- ...personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new... ...updates on litigated claims, serious injuries, and claims over the adjuster\'s authorization limits. Sets and manages reserve accounts, and...RiskWork at officeLocal areaImmediate start
- University HealthCare Alliance (dba Stanford Medicine Partners) is the medical foundation of Stanford Health Care and Stanford Medicine. Stanford Medicine Partners was born out of the aspiration for Stanford Medicine and local, leading providers to partner together to bring...RiskLocal area
- ...South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary... ...the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient...RiskWork at office
- Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the development of predictive models...RiskWork experience placementLocal area
- ...commercial trucking insurance taking transportation insurance and fleet risk management to the next level. Our platform arms fleets with an... ...unlimited PTO. About the Role As an HDVI Physical Damage Adjuster you will work closely with HDVIs Claims and Fleet Services Teams...RiskFull timeTemporary workWork at officeRemote workFlexible hoursShift work
