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RISK ADJUSTMENT CODING & DOCUMENTATION SPECIALIST

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...

CompanySentara Healthcare
AddressVirginia Beach, VA
CategoryHealthcare
Date Posted 2 days ago See detail

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...

2 days ago seen See more...

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...

4 days ago seen See more...

Senior Property & Builders Risk Claims Adjuster New

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...

16 hours ago seen See more...

Senior Property & Builders Risk Claims Adjuster New

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...

16 hours ago seen See more...

Senior Property & Builders Risk Claims Adjuster New

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...

16 hours ago seen See more...

Senior Property & Builders Risk Claims Adjuster New

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...

16 hours ago seen See more...

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...

6 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...

6 days 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...

6 days 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...

6 days ago seen See more...

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...

2 weeks ago seen See more...

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...

2 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...

2 weeks ago seen See more...

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...

2 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...

3 weeks ago seen See more...

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...

3 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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

Risk Adjustment Specialist - Remote in Southern CA

Optum

Los Angeles, CA

$70,200 to $137,800 per 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...

Prospective Programs Manager, Medicaid Risk Adjustment

Cvs Health

Connecticut, United States

3+ years of project management experience. . Clinical degree (RN) or previous work in Risk Adjustment, HEDIS or quality.. 2+ years in of Medicaid or relevant health care industry experience . 2+ years of HEDIS/Quality experience....

4 weeks ago seen See more...

Risk Adjustment Professional

Humana

Arkansas, United States

High School Diploma or equivalent 1+ years of experience working within the healthcare industry Strong knowledge of Microsoft Office Word, Excel, and PowerPoint Prior training experience - individual and team Experience preparing...

4 weeks ago seen See more...

Risk Adjustment Practitioner Education Consultant I

York State Department Of Labor

New York, NY

Applies CMS Risk Adjustment coding guidelines and AAPC or AHIMA coding certification to review medical records after encounter and provide feedback to physician and/or physician group for the purposes of improving Risk Adjustment...

4 weeks ago seen See more...

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...

Professional Services - Sr. Manager, Risk Adjustment

Tabula Rasa Healthcare Group

Remote

$97.4K - $123K a year

Works closely with SVP and Sr. Director of Risk Adjustment to develop and implement strategies that improve client deliverables, identify new Risk Adjustment opportunities, and develop and execute overall key metrics to improve co...

a month ago seen See more...

Risk Adjustment Medical Records Clerk (Remote)

Marshfield Clinic Health System

Marshfield, WI

$35.2K - $44.6K a year

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Risk Adjustment Medical Records Clerk (Remote)Cost Center:682891390 SHP-Strategic FinanceScheduled Weekl...

a month ago seen See more...

VP, Risk Adjustment Analytics

Evergreen Nephrology

Nashville, TN

Lead the strategic design and execution of the quality and coding functions for Evergreen. Lead, coach, and develop the Evergreen quality team, coding team, and external-facing leads. Lead the creation and maintenance of billing a...

a month ago seen See more...

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...

a month ago seen See more...

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...

a month ago seen See more...

REMOTE Senior Risk Adjustment Coder, RADV

Csi Companies

Jacksonville, FL

100% REMOTE -Work from home. Flexible working schedule. PAY PER HOUR model. Paid training. Long term contract position- Benefits Offered! Required Certification: Active certified coder certification through AHIMA or AAPC required...

a month ago seen See more...

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...

a month ago seen See more...

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What are the top cities open Risk Adjustment jobs?

There are open Risk Adjustment jobs in several cities including Denver, New York, Dallas, Lenexa, Baltimore, Jersey City, Syracuse, Portland, Yakima, Dayton, Fort Myers, Medford, Garden City, Hartford, Springfield,

What companies are hiring for Risk Adjustment jobs?

The top companies hiring now for Risk Adjustment jobs are Alignment Healthcare, Apex Health Solutions, CareFirst BlueCross BlueShield, CVS Health, Elevance Health, Honest Medical Group, Humana - 3.6, MaineHealth, New York State Department of Labor, NYC Health & Hospitals, Porter Cares Inc, Southwestern Health Resources CIN, Stanford Health Care, Summa Health, Trinity Health PACE,

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