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Hueman Risk Adjustment Solutions Jobs in Ohio (NOW HIRING)

... solutions, and cross-functional collaboration. The ideal candidate is a collaborative business ... Knowledge of state regulatory requirements, financial reconciliations, audits, risk adjustment ...

... solutions, and cross-functional collaboration. The ideal candidate is a collaborative business ... Knowledge of state regulatory requirements, financial reconciliations, audits, risk adjustment ...

... solutions, and cross-functional collaboration. The ideal candidate is a collaborative business ... Knowledge of state regulatory requirements, financial reconciliations, audits, risk adjustment ...

New

... solutions, and cross-functional collaboration. The ideal candidate is a collaborative business ... Knowledge of state regulatory requirements, financial reconciliations, audits, risk adjustment ...

New

Risk Manager II - AMZ9971297

Plain City, OH ยท On-site

$74K - $129K/yr

... solutions to reduce potential risks. Create schedules, identify and communicate risks to ... If you have a disability and need a workplace accommodation or adjustment during the application ...

... k adjustment, program integrity, HEDIS, healthcare operations, finance, and clinical departments to identify and capitalize on opportunities for data-driven innovative solutions using cutting-edge ...

Director, Analytics Product

Dublin, OH ยท On-site +1

$225K - $235K/yr

Translate client, market, and business needs into productized analytics solutions (not ad hoc ... Risk adjustment (e.g., HCC) * Care gap identification and closure * Provider performance and ...

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Hueman Risk Adjustment Solutions information

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 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, and why are they important?

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 cities in Ohio are hiring for Hueman Risk Adjustment Solutions jobs? Cities in Ohio with the most Hueman Risk Adjustment Solutions job openings:

Nurse Practitioner (PRN) - Health Risk Assessments

Hueman Risk Adjustment Solutions

Oak Harbor, OH โ€ข On-site

Contractor

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Oak Harbor, OH.

This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms,โ€ฏall while enjoying a schedule designed with your preferences in mind.โ€ฏWhether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of theโ€ฏthriving HRA landscape, fostering connections that go beyond the clinic.ย 

Benefits include:โ€ฏย ย 

  • Competitive compensation and travel reimbursementโ€ฏย 
  • Flexible scheduleย 
  • Comprehensive home assessment trainingย 
  • Dedicated patient scheduling assistanceย 
  • Liability insuranceโ€ฏoptionsย 

Position Summaryย 

Qualified Nurse Practitioners interested inโ€ฏthisโ€ฏpositionโ€ฏwill have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home.โ€ฏย 

Nurse Practitioner Responsibilitiesย 

  • Travel to and from patientsโ€™ homes.ย 
  • Perform comprehensive, non-invasive physical assessments.ย 
  • Review medical history and ensure accurate and timely documentation.ย ย 
  • Conduct medical reconciliation to ensure patient safety and compliance.ย 
  • Provide basic patient education on wellness and preventative healthcare measures.ย ย 

Nurse Practitioner Qualifications and Experience Requirements:โ€ฏย 

  • Masterโ€™s Degree OR commensurate experience and satisfactory completion of NP licenseย 
  • Active State NP licenseย 
  • Active National board certificationย 
  • Current BLS certificationย 
  • 12 months of experience as a paid advanced clinical provider is preferred but not requiredย 

To learn more about this position, please use this linkย to schedule a call with a member of our recruitment team.ย ย 
About Huemanย 

At Hueman, we're dedicated to guiding you toward fulfilling career opportunities.ย ย 

We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position!ย 

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