coding standards as well as CMS and ACA Risk Adjustment guidelines. The Coding Specialist II will lead efforts to evaluate... of coding rules and CMS guidelines in both inpatient and outpatient settings. Priority for the Risk Adjustment Coding Specialist...
Risk Adjustment Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America... this, we're looking for a Professional, Risk Adjustment Analyst to join #TeamMVP. This is the opportunity...
Risk Adjustment Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America... this, we're looking for a Professional, Risk Adjustment Analyst to join #TeamMVP. This is the opportunity...
Overview CMS-HCC Risk Adjustment GeBBS Healthcare Solutions, an industry leader in Health Information Management... in the healthcare industry. Join this exciting team working remotely in a flexible CMS HCC/Risk Validation Audit role...
Overview: CMS-HCC Risk Adjustment GeBBS Healthcare Solutions, an industry leader in Health Information Management... in the healthcare industry. Join this exciting team working remotely in a flexible CMS HCC/Risk Validation Audit role...
, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility). May have special...) and/or management as needed. Assist with mentoring new Risk Adjustment Coders under direction of training team in learning the rules...
on risk coding. The QA position monitors & reports on the accuracy of all code captures on a % of all images of their assigned... for Coder I, Coder II once they have tested at 95% quality. Completes image review for proper HCC mapped diagnosis coding...
for Medicare & Medicaid Services (CMS). Assist in process improvements that will maximize risk adjustment factor increases...Description POSITION SUMMARY This role contributes to Health First Health Plans’ (HFHP) Risk Adjustment data...
: Other: Job Specific and Unique Knowledge, Skills and Abilities Strong knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC... risk adjustment model, medical record review project management, encounter data management Demonstrated ability to work...
: Other: Job Specific and Unique Knowledge, Skills and Abilities Strong knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC... risk adjustment model, medical record review project management, encounter data management Demonstrated ability to work...
(including ICD-9 and ICD-10), strong knowledge of HCC's and risk scores, communication and collaborative skills, as well as the... ability to excel in a dynamic, fast-paced environment. The candidate must demonstrate solid command of risk adjustment. This compliance...
(including ICD-9-CM) codes to verify that coding meets both established coding standards as well as CMS and ACA Risk Adjustment... and communities. To learn more about who we are at Point32Health, click . Job Summary Under the direction of the Risk Adjustment...
coding standards as well as CMS and ACA Risk Adjustment guidelines. The Coding Specialist II will lead efforts to evaluate... of coding rules and CMS guidelines in both inpatient and outpatient settings. Priority for the Risk Adjustment Coding Specialist...
an Analytics strategic plan and support business intelligence, analytic, and data science techniques to improve risk adjustment.... Works under general supervision. This position requires industry knowledge of risk adjustment analytic, data science...
Job Summary The Expert Risk Adjustment Analyst will assist our organization as a subject-matter-expert in Medicare Advantage..., Affordable Care Act (ACA), Medicaid, and Accountable Care Organization (ACO) Risk Adjustment by developing requirements for new...
Job Summary The Expert Risk Adjustment Analyst will assist our organization as a subject-matter-expert in Medicare Advantage..., Affordable Care Act (ACA), Medicaid, and Accountable Care Organization (ACO) Risk Adjustment by developing requirements for new...
Job Summary The Expert Risk Adjustment Analyst will assist our organization as a subject-matter-expert in Medicare Advantage..., Affordable Care Act (ACA), Medicaid, and Accountable Care Organization (ACO) Risk Adjustment by developing requirements for new...
, maintaining compliance with CMS standards and modeling financial impacts of changes in risk adjustment data and methodologies... Categories (HCC) and Prescription Drug Risk Adjustment codes (RxHCCs) including risk adjustment values and formulas. Supports...
adjustment. ROLE RESPONSIBILITIES 1. Build, maintain, and own the CMS HCC risk scoring model with appropriate data filtering... with 5+ years working within healthcare 3+ years working with a CMS/HHS HCC risk adjustment modeling is required 2+ years...
will be an intricate part of the Risk Adjustment coding team. Coding for MSSP, MA and Commercial patients using the CMS HCC crosswalks.... Stay for the culture. What You’ll Be Doing: The Risk Adjustment HCC Coding Support Specialist at Evolent...