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Director Medicaid Risk Adjustment Jobs (NOW HIRING)

Birmingham, Alabama Job Summary The Risk Adjustment Specialist ensures all ICD-10 codes are ... VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high ...

Risk Adjustment Specialist

Birmingham, AL · On-site

$92K/yr

Birmingham, Alabama Job Summary The Risk Adjustment Specialist ensures all ICD-10 codes are ... VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high ...

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women ... Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical ...

Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance ... Medicaid, Medicare and Affordable Care Act/QHP. This includes monitoring submission timelines ...

Risk Adjustment Specialist

Birmingham, AL · On-site

$92K/yr

Birmingham, Alabama Job Summary The Risk Adjustment Specialist ensures all ICD-10 codes are ... VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high ...

Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance ... Medicaid, Medicare and Affordable Care Act/QHP. This includes monitoring submission timelines ...

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

... programs: ¿ Medicaid State of Texas Access Reform (STAR) program for low-income children and ... Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical ...

ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as ...

ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as ...

This role is a Sr. BTA position focused on translating Medicare Advantage and Medicaid Risk Adjustment business requirements into production-ready technical solutions, including Encounter RA ...

Showing results 21-40

Director Medicaid Risk Adjustment information

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Risk Adjustment Coder

Virginia Beach, VA • On-site

Sentara Healthcare Inc
Hospitals • 10K+ employees

$16.50 - $22/hr

Other

Posted 13 days ago


Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz


Job description

Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!

Hours: Monday - Friday, 8:00AM -5:00PM, dayshift.

This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration.

Overview

Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting, investigation, root cause analysis, and corrective action oversight. Performs vendor quality oversight audits; reviews and/or makes final coding determination for non-agreeable coding. Makes final decision on vendor-to-vendor diagnosis coding rebuttal concerns. Serves as subject matter expert on risk adjustment diagnosis coding guidelines. Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a reasonable fluency in workings & financial implications of applicable risk adjustment models.

Education
  • Associate degree (Required)
Experience
  • Medical Records Data - 1 year (Required)
  • Coding - 2 years (Required)
Certifications:

One of the following certifications are required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).

Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment.

Keywords:

Risk Adjustment Coding & Documentation Specialist, Talroo-Allied Health, Medical Office

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