Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... region from home to complete review services 8. Abide by all HIPAA and associated patient ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... region from home to complete review services 8. Abide by all HIPAA and associated patient ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... region from home to complete review services 8. Abide by all HIPAA and associated patient ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... region from home to complete review services 8. Abide by all HIPAA and associated patient ...
Senior Analyst, Risk & Quality Reporting - HEDIS
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
Scottsdale, AZ · On-site
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
Scottsdale, AZ · On-site
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
Mesa, AZ · On-site
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
Mesa, AZ · On-site
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
Tucson, AZ · On-site
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
Tucson, AZ · On-site
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Senior Analyst, Risk & Quality Reporting - HEDIS
$60K - $117K/yr
Designs and develops custom health plan reports to support local interventions, provider outreach ... Conducts preliminary and post impact analyses for any logic and source code changes for data and ...
Field Nurse Practitioner - Pima County, Arizona
Tucson, AZ · On-site
$100/hr
Partnering with 40+ health plans and supporting 1M+ providers nationwide * 99% Provider ... In home or risk adjustment experience preferred * Willing to obtain additional licensure if needed ...
Quick apply
Field Nurse Practitioner - Pima County, Arizona
Tucson, AZ · On-site
$100/hr
Partnering with 40+ health plans and supporting 1M+ providers nationwide * 99% Provider ... In home or risk adjustment experience preferred * Willing to obtain additional licensure if needed ...
Field Nurse Practitioner - Pima County, Arizona
Tucson, AZ · On-site
$100/hr
Partnering with 40+ health plans and supporting 1M+ providers nationwide * 99% Provider ... In home or risk adjustment experience preferred * Willing to obtain additional licensure if needed ...
Field Nurse Practitioner - Pima County, Arizona
Tucson, AZ · On-site
$100/hr
Partnering with 40+ health plans and supporting 1M+ providers nationwide * 99% Provider ... In home or risk adjustment experience preferred * Willing to obtain additional licensure if needed ...
Field Nurse Practitioner - Pima County, Arizona
Tucson, AZ · On-site
$100/hr
Partnering with 40+ health plans and supporting 1M+ providers nationwide * 99% Provider ... In home or risk adjustment experience preferred * Willing to obtain additional licensure if needed ...
Field Nurse Practitioner - Pima County, Arizona
Tucson, AZ · On-site
$100/hr
Partnering with 40+ health plans and supporting 1M+ providers nationwide * 99% Provider ... In home or risk adjustment experience preferred * Willing to obtain additional licensure if needed ...
OB/GYN - Pediatric & Adolescent Gynecologist - Yorktown, NY
Tucson, AZ · On-site
$236K - $255K/yr
Experience the fulfillment of advancing the health of your community with the excitement of ... As a Patient Centered Medical Home, Optum Tri-State can provide patient-focused medical care to the ...
OB/GYN - Pediatric & Adolescent Gynecologist - Yorktown, NY
Tucson, AZ · On-site
$236K - $255K/yr
Experience the fulfillment of advancing the health of your community with the excitement of ... As a Patient Centered Medical Home, Optum Tri-State can provide patient-focused medical care to the ...
OB/GYN - Pediatric & Adolescent Gynecologist - Yorktown, NY
Phoenix, AZ · On-site
$242K - $262K/yr
Experience the fulfillment of advancing the health of your community with the excitement of ... As a Patient Centered Medical Home, Optum Tri-State can provide patient-focused medical care to the ...
OB/GYN - Pediatric & Adolescent Gynecologist - Yorktown, NY
Phoenix, AZ · On-site
$242K - $262K/yr
Experience the fulfillment of advancing the health of your community with the excitement of ... As a Patient Centered Medical Home, Optum Tri-State can provide patient-focused medical care to the ...
... in-home and in-clinic wellness assessments, preventative care, transitional care, and social ... risk adjustment, HCC coding, quality incentive programs, STARS, HEDIS, and other population health ...
Quick apply
... in-home and in-clinic wellness assessments, preventative care, transitional care, and social ... risk adjustment, HCC coding, quality incentive programs, STARS, HEDIS, and other population health ...
CDI Specialist RN Ld
Phoenix, AZ · On-site
$39.96 - $58.94/hr
Under general direction from the CDI Supervisor and Manager, the CDI Specialist RN Ld provides ... Advanced knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG methodologies, risk adjustment, and coding ...
CDI Specialist RN Ld
Phoenix, AZ · On-site
$39.96 - $58.94/hr
Under general direction from the CDI Supervisor and Manager, the CDI Specialist RN Ld provides ... Advanced knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG methodologies, risk adjustment, and coding ...
Nurse Practitioner
Yuma, AZ · On-site
Home Health Care * Hospice * Managed Care (2+ years) * Do you have experience with computer-based ... General knowledge of risk adjustment
Nurse Practitioner
Yuma, AZ · On-site
Home Health Care * Hospice * Managed Care (2+ years) * Do you have experience with computer-based ... General knowledge of risk adjustment
Coding Auditor/Educator
Phoenix, AZ · On-site
$28 - $35/hr
Our clients range from independent physician practices to national healthcare systems and insurance ... work-from-home, $28-$35 per hour, Monday to Friday, 7:00am to 3:30pm within Arizona time zone ...
Coding Auditor/Educator
Phoenix, AZ · On-site
$28 - $35/hr
Our clients range from independent physician practices to national healthcare systems and insurance ... work-from-home, $28-$35 per hour, Monday to Friday, 7:00am to 3:30pm within Arizona time zone ...
Coding Auditor/Educator
Phoenix, AZ · On-site
$28 - $35/hr
Our clients range from independent physician practices to national healthcare systems and insurance ... work-from-home, $28-$35 per hour, Monday to Friday, 7:00am to 3:30pm within Arizona time zone ...
Coding Auditor/Educator
Phoenix, AZ · On-site
$28 - $35/hr
Our clients range from independent physician practices to national healthcare systems and insurance ... work-from-home, $28-$35 per hour, Monday to Friday, 7:00am to 3:30pm within Arizona time zone ...
... for payor requested Risk Adjustment Audits. Coordinates on site chart pulls as appropriate ... of coding that Analyze daily financial exceptions from the charge capture audit reports to ...
Quick apply
... for payor requested Risk Adjustment Audits. Coordinates on site chart pulls as appropriate ... of coding that Analyze daily financial exceptions from the charge capture audit reports to ...
PB Coding Supervisor
Phoenix, AZ · On-site
$34.26 - $53.96/hr
Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). Skills * Medicare ... Intermountain Health is an equal opportunity employer. Qualified applicants will receive ...
New
PB Coding Supervisor
Phoenix, AZ · On-site
$34.26 - $53.96/hr
Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). Skills * Medicare ... Intermountain Health is an equal opportunity employer. Qualified applicants will receive ...
New
Clinical Pharmacist (MTM) - Work From Home
Phoenix, AZ · Remote
$102K - $184K/yr
... high-risk populations. These reviews include but are not limited to the assessment of drug ... Adhere Health's Optimize or similar applications) preferred * Excellent verbal and written ...
Clinical Pharmacist (MTM) - Work From Home
Phoenix, AZ · Remote
$102K - $184K/yr
... high-risk populations. These reviews include but are not limited to the assessment of drug ... Adhere Health's Optimize or similar applications) preferred * Excellent verbal and written ...
From Home Optum Health Coding Risk Adjustment information
What is the difference between From Home Optum Health Coding Risk Adjustment vs From Home Optum Health Medical Coding?
| Aspect | From Home Optum Health Coding Risk Adjustment | From Home Optum Health Medical Coding |
|---|---|---|
| Certifications | CCS, CPC, or RHIT/RHIA | CCS, CPC, or RHIT/RHIA |
| Work Environment | Remote, home-based | Remote, home-based |
| Industry Usage | Health insurance, risk adjustment programs | Healthcare providers, hospital coding |
| Job Focus | Risk adjustment coding for insurance accuracy | Clinical coding for medical records |
While both roles involve medical coding from home, From Home Optum Health Coding Risk Adjustment focuses on coding for insurance risk adjustment programs, requiring specific risk adjustment knowledge. In contrast, From Home Optum Health Medical Coding emphasizes clinical coding for medical records, often in hospital or provider settings. Both roles require similar certifications and offer remote work, but their primary focus and industry applications differ.
Job description
Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:
1. CMS HCC Risk Adjustment
2. HEDIS
3. Medical Record Reviews (Accreditation)
4. And more
Job Description
About the Job:
We are currently recruiting RNs, LPNs, MA's, Certified Coders, and RHIT or RHIA professionals to work as Medical Records Reviewers (Field Reviewers) in your area. We may also consider Medical Records Professionals that have a minimum of 2 years of hands on medical records experience, EMR/EHR experience a plus, based on the type of experience and the health plans we are currently working with. Our reviewers visit physicians' offices to retrieve and review specific documents from medical records for various projects and studies, within a 40 mile radius of the area you live in. This can be reduced a bit if needed to accommodate possible travel issues on a case by case basis. This work is project based and is not considered to be full time permanent employment.
You will be provided a personal scheduler and advocate to help you plan your daily activities. Altegra will schedule and confirm all of your appointments to make your days are as efficient as possible. We will also provide computer equipment for scanning charts and transferring files to our secure file transfer site. We provide help desk assistance for both IT support and medical record retrieval support.
We pay competitive wages. We also provide thorough training in the use of our technology, processes, documents to be scanned or copied, and HIPAA confidentiality requirements for protected health information. If you have substantial medical records experience, a professional demeanor, and can work independently then we invite you to join the most respected name in the industry.
Summary of Duties and Responsibilities:
1. Accurately and efficiently conduct medical record review services
2. Scan relevant components of the medical record to support reviews performed
3. Upload scanned medical records daily
4. Maintain communication lines with Outcomes advocate
5. Successfully complete required training, testing and quality assessments
6. Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities
7. Travel to medical facilities in specified area of region from home to complete review services
8. Abide by all HIPAA and associated patient confidentiality requirements
Qualifications
1. Must be an RN, LPN, Certified Coder, RHIT, RHIA, MA or Medical Records Professionals with a minimum of 2 years of hands on medical records experience, EMR/EHR experience a plus, based on the type of experience you have and the health plans we are currently working with.
2. Strong computer skills and high-speed internet access at home (no dial-up)
3. Reliable transportation, auto insurance and a valid driver's license
4. Commitment to confidentiality of patient health information
5. Professional, articulate and able to work independently
6. Availability at least 20 hours per week during business hours
7. Ability to manage and meet deadlines
8. Must be willing to travel within a 40 mile radius
9. Business attire is required when visiting physician offices
10. Must have a working cell phone, home computer, and printer
Additional Information
About Altegra Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Fort Lauderdale, FL, US
Year founded
1990