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Hueman Risk Adjustment Solutions Jobs in Michigan

York Risk Services

Leave of Absence Coordinator

Southfield, MI · On-site

$19.31/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... or adjustments for client paid leave plans ensuring that on-going claim management is within ... empathic and solution-focused. ESSENTIAL RESPONSIBLITIES MAY INCLUDE * Establishes FMLA claims ...

Emergent Holdings

Premium Analyst II

Lansing, MI

When an adjustment is denied, notify the parties involved. Make necessary customer contacts to an ... Risk IDs, addresses, officers, endorsements, as a result of audit findings while completing the ...

The AF Group

Premium Analyst II

Lansing, MI · On-site

When an adjustment is denied, notify the parties involved. Make necessary customer contacts to an ... Risk IDs, addresses, officers, endorsements, as a result of audit findings while completing the ...

Emergent Holdings

Premium Analyst II

Lansing, MI · On-site

When an adjustment is denied, notify the parties involved. • Make necessary customer contacts to ... Risk IDs, addresses, officers, endorsements, as a result of audit findings while completing the ...

Attalon, Inc.

Manufacturing Technician

Traverse City, MI · On-site

$18.50 - $27.50/hr

Ensure work is carried out (within the cell) in a safe manner at all times and relevant risk ... Makes setups and adjustments holding tolerances to blueprint specification * Routinely use hand ...

Adventure Credit Union

Senior Loan Underwriter

Lansing, MI · On-site

$88K - $104K/yr

This position evaluates member loan requests, manages credit risk, and provides guidance to staff ... Analyzes and resolves non-routine problems and account adjustments. Utilize loan origination ...

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Hueman Risk Adjustment Solutions information

What is Hueman Risk Adjustment Solutions?

Hueman Risk Adjustment Solutions is a company that specializes in providing risk adjustment services for healthcare organizations. Their solutions help healthcare providers accurately capture and report patient health data to ensure proper reimbursement and compliance with government programs like Medicare Advantage. They offer services such as coding, chart reviews, and analytics to improve risk score accuracy and optimize revenue cycles. Hueman's approach is designed to enhance the quality of care documentation and support organizations in navigating the complexities of value-based care.

What are the key skills and qualifications needed to thrive as a risk adjustment specialist at Hueman Risk Adjustment Solutions?

To thrive as a Risk Adjustment Specialist, you need a strong background in medical coding, healthcare data analysis, and a comprehensive understanding of risk adjustment models, typically supported by certifications such as CRC, CPC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment platforms is essential. Attention to detail, analytical thinking, and effective communication are standout soft skills in this role. These skills ensure accurate coding, compliance with regulatory standards, and optimal reimbursement outcomes for healthcare organizations.

What are some typical challenges faced by professionals working in risk adjustment solutions at Hueman, and how can they be addressed?

Professionals in Risk Adjustment Solutions at Hueman often encounter challenges such as accurately interpreting complex medical records and ensuring compliance with evolving healthcare regulations. Maintaining high data quality while meeting deadlines can also be demanding, especially when working with large volumes of patient information. These challenges are best addressed by leveraging advanced coding tools, participating in ongoing training, and collaborating closely with clinical staff and data analysts. This teamwork and commitment to best practices help ensure accurate risk adjustment and contribute to improved patient outcomes.

What is the difference between Hueman Risk Adjustment Solutions vs Medical Coding Specialist?

AspectHueman Risk Adjustment SolutionsMedical Coding Specialist
CredentialsCertifications in risk adjustment, coding, or related fieldsCertified Professional Coder (CPC), CCS, or equivalent
Work EnvironmentConsulting, healthcare analytics, risk adjustment programsHospitals, clinics, insurance companies
Industry UsageHealth plan risk management, analytics firmsMedical billing, coding departments

Hueman Risk Adjustment Solutions focuses on optimizing risk adjustment processes through analytics and consulting, while Medical Coding Specialists handle the accurate coding of medical records. Both roles require coding certifications but differ in scope and work environment, with Hueman primarily providing strategic solutions and Medical Coding Specialists executing coding tasks within healthcare facilities.

What are popular job titles related to Hueman Risk Adjustment Solutions jobs in Michigan?

For Hueman Risk Adjustment Solutions jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Hueman Risk Adjustment Solutions jobs in Michigan look for?

The top searched job categories for Hueman Risk Adjustment Solutions jobs in Michigan are:

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Cities in Michigan with the most Hueman Risk Adjustment Solutions job openings:

Hueman Risk Adjustment Solutions jobs near you

Travel Medical-Surgical Registered Nurse - $1,962 per week

Medical Solutions

Big Rapids, MI • On-site

$1.9K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago

New

Job description

Medical Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Big Rapids, Michigan.

Job Description & Requirements
  • Specialty: Med Surg
  • Discipline: RN
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, nights
  • Employment Type: Travel

We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game. Those that want flexibility and high pay, we have the positions for you!

Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include:

  • Day One Medical, Dental, and Vision with low premiums
  • Day One 401(k) with Company Contribution
  • Personalized Compensation Packages
  • Paid, Private, Fully Furnished, Pet-Friendly Housing
  • Dedicated Recruiter and 24/7 Customer Care Line
  • Per Diem Allowance and Paid Travel
  • Licensure and Certification Reimbursement
  • Free Liability Coverage
  • Voluntary Benefits: Critical Illness, Hospital Indemnity, Accident, and Pet Insurance
  • Equal Employment Opportunity
  • And More!

Estimated pay package based on bill rate at time job was posted. Bill rates can change frequently and without notice. Exact pay package may vary based on guaranteed hours, distance being traveled, and customizations available for travelers.

Description: Population (types of patients): Will see patients with a variety of diagnoses, but a focus on neuroscience patients: Traumatic Brain Injuries (Severe Concussions, Brain Bleeds) – Stroke Patients (Symptoms or Recovery) – Neuro Surgery, post op. craniotomies, spine surgery, headache patients. Some fall risk patients. Have to be quick on your feet. Not a lot of down time. May have underlining conditions, dementia, confusion, behavioral health and mental health concerns Job duty Information: Delivers nursing care responsibly and accountably as described professionally by the American Nurses Association (ANA) and legally by the State of Michigan. Demonstrates competency through the critical thinking model known as the nursing process. This includes assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Upholds the standards of professional performance as described by the ANA. This includes ethical practice, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes. Supports both our Med Surg units as well as progressive. Presently our health system is at a historic high in census. Spectrum Health is the largest health system on the Westside of Michigan and also deemed a safety hospital for this community. Being a safety hospital means we have a responsibility to the State of Michigan due to our size and level of care we can provide being the only Trauma level 1 in this area. While the census continues to grow, we are not able to turn away patients for care despite our staff being stretched in order to handle this new growth. In order to address our community needs, new units have been opened to care for the overflow of patients and due to this our internal and interim staff have been and will continue to be expected to support in our most urgent units as needed. Please note that this is not new as our work order descriptions in Fieldglass do state “may need to travel to other units or campuses as needed”. We understand this is a dissatisfier to some of our agency staff we are doing our best to communicate any adjustments as early as possible as well as scheduling out as far as we are able on some of these urgent units.

Medical Solutions Job ID #1159107. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Med Surg (Medical Surgical)

About Medical Solutions

At Medical Solutions, we’re people who care, helping people who care. No matter how you look at it, there’s a whole lot of care going on in our world and that’s just the way we like it. What do we do? Medical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Through our family of brands, we also serve a segment of clients outside of the healthcare space. And we’re the very best at what we do. You’ll love our culture that’s filled with heart and soul. As a company and employer, we’re sincerely and unabashedly us. We lead as humans first and believe the unique qualities of each team member make us better together. We share a purpose for helping others and the drive to make a difference. And we offer endless opportunities for personal and professional growth, throughout your career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry awards, and received accolades for the impact we’ve made in business and within our community. But the only way to really get to know us, is to join us. We think you’ll fit right in.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Weekly pay
  • Holiday Pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Pet insurance
  • Company provided housing options
  • Cancelation protection
  • Wellness and fitness programs
  • Mileage reimbursement
  • Referral bonus
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1
  • License and certification reimbursement
  • Life insurance
  • Discount program

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