coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care... experts for proper risk adjustment coding and CMS data validation Work in conjunction with other departments to include...
(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 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...
Risk Adjustment process, from initial data capture at point-of-care, through acceptance to CMS, and successfully validated..., we can transform healthcare and enable smarter care for millions of people. The Expert Risk Adjustment Analyst will assist...
Risk Adjustment process, from initial data capture at point-of-care, through acceptance to CMS, and successfully validated..., we can transform healthcare and enable smarter care for millions of people. The Expert Risk Adjustment Analyst will assist...
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...
Health Plan. As Senior Director, you will lead the risk adjustment analytics function. The selected candidate can work... Risk Adjustment Department including optimizing UPMC Health Plan's receipt of earned risk-adjusted revenue for all risk...
processes Subject matter expert in CMS HCC Risk Adjustment modeling May lead vendor research, software installation... as a "Great Place to Work" since 2015. Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes...
charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic... and submit to Manager for provider education efforts Update risk adjustment software with all relevant chart review observations...
and procedures related to Risk Adjustment and HCC coding guidelines. Ensure coding is consistent with ICD-10-CM, CMS-HCC... of experience in Risk Adjustment and HCC coding in a healthcare setting. Strong knowledge of ICD-10-CM coding guidelines and CMS...
and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation... diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...
and/or CMS RADV audits. This position is reported to the Director of Risk Adjustment/HCC coding. In addition... environment. Knowledge of CMS risk adjustment/HCC model with coding and documentation guidelines. Ability to interpret clinical...
modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC and other Risk... of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS...
, 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...
' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories (HCC) identified from abstracted ICD-10-CM... and proficiency with ICD-10-CM coding guidelines and conventions Familiarity with CMS regulations for Risk Adjustment programs...
applicable coding conventions. Demonstrates knowledge and understanding of CMS HCC Risk Adjustment coding - Routinely performs... HCC Risk Adjustment coding and data validation requirements....
program as well as CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart... documentation of procedures and diagnosis coding Assist providers in understanding quality and CMS-HCC Risk Adjustment driven...
and diagnosis coding Assist providers in understanding quality and CMS-HCC Risk Adjustment driven payment methodology and the... as directed by Market Consultation leadership Assists providers in understanding the Medicare quality program as well as CMS-HCC...
organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition... Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing...
organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition... Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing...