Risk Adjustment Coding jobs
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RISK ADJUSTMENT CODING ANALYST
Validate provider, vendor, and internal diagnosis coding for accuracy by reviewing and analyzing samples of coding and claims extract compared to actual medical records. Review and identify trends in coding discrepancies and notif...
| Company | Centene Corporation |
|---|---|
| Address | Las Vegas, NV |
| Category | Information Technology |
| Job type | Full-Time |
| Date Posted | 2 days ago See detail |
Risk Adjustment Coding Analyst
Centene Corporation
Las Vegas, NV
Validate provider, vendor, and internal diagnosis coding for accuracy by reviewing and analyzing samples of coding and claims extract compared to actual medical records. Review and identify trends in coding discrepancies and notif...
2 days ago seen See more...
- View all Centene Corporation jobs - jobs in Las Vegas, NV
Risk Adjustment Coding & Documentation Specialist
Sentara Healthcare
Virginia Beach, VA
Coding - 2 years Experience required. Medical Records Data - 1 year experience required. Associates preferred but not required. Microsoft Office, including PowerPoint & Excel experience required. Should be able to analyze perform...
5 days ago seen See more...
Risk Adjustment Coding Educator
Wellvana
Orlando, FL
Educate providers on Risk Adjustment: its purpose, CMS-HCC coding rules and guidelines, open condition reporting, identifying unreported conditions, proper documentation for MA, MSSP, ACO Reach, and DCE patients. Able to perform a...
a week ago seen See more...
- View all Wellvana jobs - jobs in Orlando, FL
Supervisor Risk Adjustment Billing and Coding
Innova People
Beaverton, OR
Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices. Serve as the first-level supervisory position. Be responsible for assigning, dire...
2 days ago seen See more...
- View all Innova People jobs - jobs in Beaverton, OR
Supervisor Risk Adjustment and Coding *Remote*
Providence
Beaverton, OR
Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices. Serve as the first-level supervisory position. Be responsible for assigning, dire...
2 days ago seen See more...
- View all Providence jobs - jobs in Beaverton, OR
Risk Adjustment Coding Specialist (Texas Region) *Hybrid*
Astrana Health
Spring, TX
$25 - $35 an hour
Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage and Commercial Risk Adjustment documentation requirements are met, and to deliver education to providers on either an indiv...
a month ago seen See more...
- View all Astrana Health jobs - jobs in Spring, TX
HCC/Risk Adjustment Coding Specialist
Engagemed Inc
North Little Rock, AR
$34.7K - $44K a year
Develops tools and resources for education of clinicians and other staff as a part of improvement efforts. Collaborates with revenue cycle, quality, regional directors, practice managers, executive leaders, and other stakeholders...
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- View all Engagemed Inc jobs - jobs in North Little Rock, AR
Medicare Risk Adjustment Coding Specialist
Arkansas Blue Cross And Blue Shield
Arkansas, United States
$45.5K - $57.6K a year
In lieu of degree, three (3) years' medical coding experience will be considered.LICENSING/CERTIFICATIONCertified Coding Specialist (CCS) through American Health Information Management Association (AHIMA) or Certified Professional...
2 months ago seen See more...
Supervisor, Risk Adjustment, Quality and Coding
Wellvana Integration Partners, Llc
Orlando, FL
Oversee and improve the various Quality andRisk Adjustment processes. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government and re...
a week ago seen See more...
Supervisor, Risk Adjustment, Quality and Coding
Wellvana
Orlando, FL
Oversee and improve the various Quality andRisk Adjustment processes. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government and re...
a week ago seen See more...
- View all Wellvana jobs - jobs in Orlando, FL
Retrospective Program Manager, Medicaid Risk Adjustment New
Cvs Health
Connecticut, United States
3+ years of project management experience. . 2+ years in Medicaid or Risk Adjustment health care industry experience. . Certified Risk Adjusted Coder (CRC) or Certified Professional Coder (CPC).....
9 hours ago seen See more...
- View all Cvs Health jobs - jobs in Connecticut State
Risk Adjustment Coder - VBC - Part-Time
U.s. Renal Care
Remote - Oregon, United States
Collaborate with Lead Coder to review CDMV progress notes and CDMV Summary. Continuous streamlined communication with NPs on queries as needed. Weekly meeting with Lead coder to discuss any barriers on receiving responses to queri...
2 days ago seen See more...
- View all U.s. Renal Care jobs - jobs in Oregon State
Risk Adjustment Coder (Must Pass Coding Pre-Assessment)
Tabula Rasa Healthcare Group
Remote
$52K - $65.8K a year
Perform medical record reviews and use coding principles to code to the highest specificity and comply with CMS and HIPAA regulations as well as company goals and policies. Perform Quantitative and Qualitative analysis of paper an...
2 months ago seen See more...
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Manager, Medicaid Risk Adjustment
Cvs Health
Connecticut, United States
Oversees a program or programs that is jointly accountable for Risk Adjustment strategy, performance, and results within a designated market(s). Responsible for identifying and recommending nuanced market Risk Adjustment strategi...
a week ago seen See more...
- View all Cvs Health jobs - jobs in Connecticut State
Physician Trainer HCC Risk Adjustment
Heritage Provider Network
Los Angeles, CA
Audit Provider patient charts and analyze for proper documentation. Also, review all other chart documents to identify potential conditions that Provider may not have listed.Subjective History of chief complaint or current statu...
a week ago seen See more...
Senior Property & Builders Risk Claims Adjuster
Liberty Mutual
Baltimore, MD
Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...
5 days ago seen See more...
- View all Liberty Mutual jobs - jobs in Baltimore, MD
Senior Property & Builders Risk Claims Adjuster
Liberty Mutual
Cincinnati, OH
Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...
5 days ago seen See more...
- View all Liberty Mutual jobs - jobs in Cincinnati, OH
Senior Property & Builders Risk Claims Adjuster
Liberty Mutual
Allentown, PA
Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...
5 days ago seen See more...
- View all Liberty Mutual jobs - jobs in Allentown, PA
Senior Property & Builders Risk Claims Adjuster
Liberty Mutual
Akron, OH
Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...
5 days ago seen See more...
- View all Liberty Mutual jobs - jobs in Akron, OH
Senior Medicare Risk Adjustment Analyst
Reveleer
Remote
$140,000 - $160,000 a year
Perform end-to-end analysis on data in tabular format or natural language. Independently: find problems, architect solutions and conduct analysis. Collaborate with product managers, data scientists and data engineers, in an Agile...
3 weeks ago seen See more...
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Manager Risk Adjustment Data Analytics
Blue Cross And Blue Shield Of Kansas
Topeka, KS
$126,560 a year
Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans. Lead and Inspire: Guide and mentor your team to achieve their full potential and success. Dynamic Work Environment: Collaborate wi...
3 weeks ago seen See more...
Risk Adjustment Specialist - Remote in Southern CA
Optum
Santa Ana, CA
$70,200 - $137,800 a year
Serve as the Relationship Owner and Strategic Partner for key markets/provider groups in collaboration with Market Leadership. Provide guidance and consultative feedback to groups, MSOs and IPAs to drive provider engagement and ad...
3 weeks ago seen See more...
- View all Optum jobs - jobs in Santa Ana, CA
Government Programs Risk Adjustment Analyst
Capital Blue Cross
Harrisburg, PA
$68.2K - $86.3K a year
Assist and/or develop new reports or analysis, enhance key existent reports and/or analysis processes, and methodologies of the Risk Adjustment Program operations and initiatives. Support the implementation and on-going activities...
3 weeks ago seen See more...
- View all Capital Blue Cross jobs - jobs in Harrisburg, PA
Risk Consulting - Low Code ServiceNow - Senior- Multiple Locations(
York State Department Of Labor
New York, NY
Strong project management skills to effectively deliver a project from start to finish, including directly interacting with client teams.. Proactively engages with EY team members and clients in as part of service delivery or as p...
2 weeks ago seen See more...
Risk Consulting - Low Code ServiceNow - Senior- Multiple Locations(
York State Department Of Labor
New York, NY
Strong project management skills to effectively deliver a project from start to finish, including directly interacting with client teams.. Proactively engages with EY team members and clients in as part of service delivery or as p...
3 weeks ago seen See more...
Senior Manager Risk Adjustment - Provider Initiatives (Remote - Florida Only)
Florida Blue
Jacksonville, FL
$88,100 - $110,100 a year
Oversee the staff who is primarily focused on, but is not limited to, establishing, and nurturing collaborative relationships Provider Initiatives for Risk Adjustment programs including provider quality coding chart reviews, char...
4 weeks ago seen See more...
- View all Florida Blue jobs - jobs in Jacksonville, FL
Senior Builders Risk & Property Claims Adjuster
Liberty Mutual
Alexandria, VA
$84,100 - $149,600 a year
Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractors equipment, etc. Assesses construction schedules and project documentation to det...
3 weeks ago seen See more...
- View all Liberty Mutual jobs - jobs in Alexandria, VA
Risk Adjustment Coder
Community Health Plan Of Washington
Seattle, WA
Have a minimum of 2-3 years of experience in Risk Adjustment coding, preferably in a health plan setting. Have a minimum of 2-3 years of experience with Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Categ...
4 weeks ago seen See more...
Director, Risk Adjustment and Value Based Payment
Henry Ford Health
Troy, MI
Working with key clinical, operational, population health, and payer stakeholders, develops and executes a comprehensive Risk Adjustment strategy to ensure complete and accurate capture of HCC conditions and appropriate risk adjus...
4 weeks ago seen See more...
- View all Henry Ford Health jobs - jobs in Troy, MI
Medicare Risk Adjustment Advanced Analytic Consultant
Elevance Health
Denver, CO
Provides analytical insights to support business solution development based on quality, use, cost and other key drivers. Develops and refines analysis templates for problem diagnosis and opportunities assessment. Consults on all c...
4 weeks ago seen See more...
- View all Elevance Health jobs - jobs in Denver, CO
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