and operates health insurance plans in Pennsylvania, Delaware, and West Virginia. Job Title: HCC Coding Specialist/Risk... Adjustment Coding Specialist Location: Remote Duration: 3 Months Job Type: Contract-to-Hire Work Type: Remote...
AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment & Documentation Specialist... risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk...
to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates concurrent... journey. We invite you to apply today. SUMMARY OF JOB: The Certified Risk Adjustment Coding/Audit Reviewer is a physician...
to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates concurrent... a part of your professional journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding...
) certification or Certified Coding Specialist (CCS) certification, required A Certified Risk Adjustment Coder (CRC...Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment...
, Medicare Supplement, and individual plans. Collaborates with internal departments on risk adjustment coding strategies, HEDIS... and assist in the review of provider agreements. Acts as project manager over large internal risk adjustment projects (e.g...
with providers to educate and improve Risk Adjustment coding and documentation competencies. Use knowledge of ICD10 guidelines... Purpose: Utilize risk adjustment methodologies, principles, and knowledge of managed care organizations to increase engagement...
. Maintains up-to-date knowledge of changes and regulations that affect risk coding. Shares leanings with fellow coders and risk... capture of risk codes based on provider documentation and evidence in the medical record. Performs duties and responsibilities...
. Maintains up-to-date knowledge of changes and regulations that affect risk coding. Shares leanings with fellow coders and risk... capture of risk codes based on provider documentation and evidence in the medical record. Performs duties and responsibilities...
. Maintains up-to-date knowledge of changes and regulations that affect risk coding. Shares leanings with fellow coders and risk... capture of risk codes based on provider documentation and evidence in the medical record. Performs duties and responsibilities...
and White Health risk adjustment strategies and processes for lines of business subject to risk adjustment. Salary... Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology Interprets health...
to assess Utilize various systems to find clinical support to assist in closing risk adjustment gaps Responsible..., pharmacology, and disease processes and related procedures. Knowledge of risk adjustment (HCCs), guiding principles...
Engagement Specialist you will leverage analytics and other reporting to generate insights within Horizon’s Risk Adjustment... strategies focused on improving Risk Adjustment coding and documentation. Analyzes provider-related coding practices and data...
with the compliance officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the... do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk...
certifications: Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC) or Certified Coding Specialist.../Assessed/Addressed, Treated) standards, Risk Adjustment Factor (RAF) scoring, and AHIMA/ACDIS physician query brief. Provides...
and Reporting and has a complete understanding of these guidelines. Follows CMS risk adjustment guidelines and has a complete... understanding of these guidelines. Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model...
by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk... opportunities for continuing education for hospital coding team. Licenses & Certifications Coding Specialist (CCS) certification...
on CPT, ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10... of Profee and HCC Risk Adjustment, coding and documentation requirements. Previous experience in a coding production...
and two years of coding experience CRC: Certified Risk Adjustment Coder and two years of HCC coding experience RHIT... for a Certified Coding Specialist Sr in Oklahoma City, OK. In this position, you'll work with our Health Information Management Team...
and two years of coding experience CRC: Certified Risk Adjustment Coder and two years of HCC coding experience RHIT... for a Certified Coding Specialist Sr in Oklahoma City, OK. In this position, you'll work with our Health Information Management Team...