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- Overview: Policy and Audit Risk Adjustment Coder: The Policy and Audit Risk Adjustment Coder ensures accurate and compliant coding within a medicare risk adjustment framework strong focus on Risk Adjustment coding accuracy, audit readiness, and policy development. This...Risk
$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$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$70k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Maryland,... ...through informal discussion and overread assignments. Supports coder training and orientation as requested by manager May assist or...RiskFull timeWork at officeMonday to Friday$64.08k - $127.27k
...Resp & Qualifications PURPOSE: The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate startCareFirst BlueCross BlueShield
Baltimore, MD1 day ago- ...support early intervention when appropriate. Successful candidate will provide reporting and analytics to support KP's best-in-class Risk Adjustment vendor programs. Job Summary: This individual contributor is primarily responsible for driving strategic data-informed...RiskWork experience placementLocal areaRemote work
Kaiser Permanente
Fulton, MD10 hours ago - Overview: The Sr. Manager, Program Management - Risk Adjustment Vendor Oversight/ Retrieval reports into the VP Retrospective Chart Review Operations. This role will lead day-to-day management of KP’s risk adjustment retrieval and coding vendor partnerships. The incumbent...RiskContract work
$105.04k - $194.98k
Resp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets...RiskWork experience placementImmediate start$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement- Senior Claims Adjuster - Workers Compensation Location: Multiple Locations Job Description As a member of our Claims team, utilize your knowledge... .... In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...RiskWork experience placement
$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- + **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
$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office$34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours$50k - $75.5k
Base pay range $50,000.00/yr - $75,500.00/yr The Third Party Risk Associate will support the Third Party Risk Management (TPRM) team... ...a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a...RiskTemporary workWork experience placement- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast Region PRIMARY PURPOSE : To investigate... ...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
Sedgwick
Baltimore, MD4 days ago $175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Annapolis, MD2 days ago- ...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, maintain and adjust reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
PMA Companies
Baltimore, MD4 days ago $69.92k - $133.62k
...and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftUSAA
Baltimore, MD3 days ago- ...the accuracy of the loan system records (including interest rate adjustments on adjustable-rate loans) and ensure related general ledger... ...state regulations and rules impacting this position, meet all risk and compliance obligations, including the completion of required...RiskHourly payPart timeWork experience placement
The Harbor Bank of Maryland
Baltimore, MD2 days ago $70k - $80k
...Job Description Job Profile Job Title: Workers Compensation Adjuster Location: Annapolis, MD Hire Type: Direct Hire Pay... ...sign-off from required stakeholders. Work collaboratively with risk management, human resources, legal counsel, and loss control teams...RiskWork experience placementWork at office$27.72 - $46.2 per hour
Facility Inpatient Complex Senior Coder Estimated Pay Range: $27.72 - $46.20 / hour, based on location, education, and experience. Department... ..., including Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more. 5 years recent experience in Inpatient...RiskRemote workMonday to FridayFlexible hoursShift work$100.2k - $150.4k
...across different teams and departments Managing the release process Risk management & issue resolution Quality assurance & compliance... ...a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a...RiskTemporary workWork at office3 days per week- ...Conduct financial analysis and variance analysis to identify trends, risks, and opportunities. Prepare financial reports and... ...coordinate subcontractor rate negotiations. Support financial team by adjusting month and quarter‑end entries. Required Skills Strong...RiskContract workTemporary workFor subcontractorLocal area
$100k - $105k
...are committed to doing what is best for our customers. This is a remote work from home opportunity. Summit Risk Services is seeking a Professional Liability Adjuster, Attorney and/or JD required to join our growing team! Responsibilities Reviewing various insurance...RiskRemote jobHourly payWork at officeWork from home$25 - $35 per hour
...Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and higher-level... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area- The Risk Analyst will support the Third-Party Risk Management (TPRM) team as well as other groups within the ECRM department. The Risk Analyst will partner with the business to understand third party (including technology, professional services, strategic partners, etc...RiskWork experience placement
- ...Supply Chain Risk Management Analyst Mantech seeks a motivated, career and customer-oriented Supply Chain Risk Management Analyst to join our team in Fort Meade, MD. Responsibilities include but are not limited to: Review all-source intelligence products and industry...RiskWork at office
- ...Commercial General Liability Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it.... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskFull timeTemporary workFor contractorsRemote work
$103.3k - $223.7k
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskFull timeContract workTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd
Owings Mills, MD2 days ago
