Supervisor Risk Adjustment jobs

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SUPERVISOR RISK ADJUSTMENT BILLING AND CODING

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...

CompanyInnova People
AddressBeaverton, OR
CategoryHuman Resources
Job typeOther
Date Posted yesterday See detail

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...

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...

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...

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...

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).....

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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....

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...

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...

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...

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...