Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... to manage and meet deadlines 8. Must be willing to travel within a 40 mile radius 9. Business ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... to manage and meet deadlines 8. Must be willing to travel within a 40 mile radius 9. Business ...
... medical management, quality improvement, risk adjustment, product design, and clinical ... Strong understanding of Medicare risk adjustment, CMS-HCC methodology, clinical documentation, and ...
... medical management, quality improvement, risk adjustment, product design, and clinical ... Strong understanding of Medicare risk adjustment, CMS-HCC methodology, clinical documentation, and ...
... medical management, quality improvement, risk adjustment, product design, and clinical ... Strong understanding of Medicare risk adjustment, CMS-HCC methodology, clinical documentation, and ...
... medical management, quality improvement, risk adjustment, product design, and clinical ... Strong understanding of Medicare risk adjustment, CMS-HCC methodology, clinical documentation, and ...
... medical management, quality improvement, risk adjustment, product design, and clinical ... Strong understanding of Medicare risk adjustment, CMS-HCC methodology, clinical documentation, and ...
... medical management, quality improvement, risk adjustment, product design, and clinical ... Strong understanding of Medicare risk adjustment, CMS-HCC methodology, clinical documentation, and ...
Sr. Business Analyst
Grand Rapids, MI · On-site
$88K - $114K/yr
Risk Management * They develop and implement risk assessment and monitoring review processes to mitigate and/or remediate risk within the risk adjustment space. * They track and manage corrective ...
Quick apply
Sr. Business Analyst
Grand Rapids, MI · On-site
$88K - $114K/yr
Risk Management * They develop and implement risk assessment and monitoring review processes to mitigate and/or remediate risk within the risk adjustment space. * They track and manage corrective ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
... Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC ... Associate degree Health Information Management or related field, in addition to maintaining one of ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
... Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC ... Associate degree Health Information Management or related field, in addition to maintaining one of ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
... Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC ... Associate degree Health Information Management or related field, in addition to maintaining one of ...
Research Abstract Analyst III- Full time- Central Abstractor Office- One Ford Place
Detroit, MI · On-site
... Risk Adjustment, NHSN Infection control, Hospital Acquired Conditions, CMS Core Measures, CMS HCC ... Associate degree Health Information Management or related field, in addition to maintaining one of ...
... manages dependencies and vendors, and hits committed dates; owns rollout, training, and the ... on measure calculation, risk adjustment and HCC capture, and readmissions * AI in the Stack:
Quick apply
... manages dependencies and vendors, and hits committed dates; owns rollout, training, and the ... on measure calculation, risk adjustment and HCC capture, and readmissions * AI in the Stack:
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Quick apply
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Identify clinically relevant conditions and diagnoses for risk adjustment and care management. * Document findings accurately and communicate information for post-visit summaries. * Assist in ...
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$102K - $132K/yr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Quick apply
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$102K - $132K/yr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$102K - $132K/yr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner / Physician Assistant - St. Clair County, Michigan
Port Huron, MI · On-site
$102K - $132K/yr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner - Kalamazoo County, MI
Kalamazoo, MI · On-site
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner - Kalamazoo County, MI
Kalamazoo, MI · On-site
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
... HCC Coding and Risk Adjustment analysis and reimbursement guidelines. Actively works with ... Significant project management experience and outstanding analytical, communication and ...
Quick apply
... HCC Coding and Risk Adjustment analysis and reimbursement guidelines. Actively works with ... Significant project management experience and outstanding analytical, communication and ...
FIT (Fecal Immunochemical Test) Educate members on preventive care and chronic disease management Document visits in the EMR to support value-based care and risk adjustment Operate within NP or PA ...
FIT (Fecal Immunochemical Test) Educate members on preventive care and chronic disease management Document visits in the EMR to support value-based care and risk adjustment Operate within NP or PA ...
Field Nurse Practitioner / Physician Assistant - Clare County, Michigan
Harrison, MI · On-site
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner / Physician Assistant - Clare County, Michigan
Harrison, MI · On-site
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner / Physician Assistant - Iosco County, Michigan
Tawas City, MI · On-site
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Field Nurse Practitioner / Physician Assistant - Iosco County, Michigan
Tawas City, MI · On-site
$100/hr
Educate members on preventive care and chronic disease management * Document visits in the EMR to support value-based care and risk adjustment * Operate within NP or PA scope of practice and state ...
Manager Hcc Risk Adjustment information
What is a Manager HCC Risk Adjustment?
Manager HCC Risk Adjustment jobs involve overseeing teams and processes that assess and improve Hierarchical Condition Category (HCC) coding and risk adjustment in healthcare organizations. These managers ensure accurate documentation and coding of patient diagnoses to optimize reimbursement and compliance with government regulations. They collaborate with coders, clinicians, and data analysts to monitor performance, provide training, and implement best practices. Their role is critical in maximizing risk-adjusted revenue while maintaining high standards of patient data integrity.
What are the key skills and qualifications needed to thrive as a Manager HCC Risk Adjustment?
To thrive as a Manager HCC Risk Adjustment, you need expertise in healthcare coding (especially ICD-10), risk adjustment methodologies, and a background in health administration or a related field, often supported by a relevant degree and coding certifications like CRC or CPC. Familiarity with risk adjustment analytics platforms, EHR systems, and healthcare data reporting tools is important. Strong leadership, analytical thinking, and effective communication skills enable you to guide teams and collaborate across departments. These skills and qualifications are essential to ensure accurate risk scoring, regulatory compliance, and optimal reimbursement for healthcare organizations.
How does a Manager HCC Risk Adjustment typically collaborate with other departments to ensure accurate risk scoring?
A Manager HCC Risk Adjustment frequently partners with coding teams, clinical staff, and data analysts to ensure that documentation and coding accurately reflect patient conditions for risk adjustment purposes. This collaboration often involves leading training sessions, reviewing charts for compliance, and coordinating audits to identify documentation gaps. Working closely with these departments helps ensure data integrity, optimize risk scores, and support organizational goals related to reimbursement and quality reporting.
What is the difference between Manager Hcc Risk Adjustment vs Hcc Risk Adjustment Specialist?
| Aspect | Manager Hcc Risk Adjustment | Hcc Risk Adjustment Specialist |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree, industry certifications (e.g., CPC, CCS), and experience in healthcare or risk adjustment | Often requires similar certifications and experience but may have less managerial responsibility |
| Work Environment | Supervises teams, manages projects, and collaborates with multiple departments | Focuses on data analysis, coding, and risk adjustment tasks, often working independently or in small teams |
| Employer & Industry Usage | Commonly employed by health plans, healthcare providers, and risk adjustment vendors | Found within similar organizations, often as a specialized role supporting risk adjustment processes |
The main difference is that the Manager Hcc Risk Adjustment oversees teams and manages projects, while the Hcc Risk Adjustment Specialist focuses on technical tasks like data analysis and coding. Both roles require relevant certifications and industry experience, but the manager role involves leadership responsibilities.
What are popular job titles related to Manager Hcc Risk Adjustment jobs in Michigan?
For Manager Hcc Risk Adjustment jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Manager Hcc Risk Adjustment jobs in Michigan look for?
The top searched job categories for Manager Hcc Risk Adjustment jobs in Michigan are:
What cities in Michigan are hiring for Manager Hcc Risk Adjustment jobs?
Cities in Michigan with the most Manager Hcc Risk Adjustment job openings:
Medical Records - Field Reviewer
Grand Rapids, MI
Altegra Health
• Health Care and Social Assistance • 1 - 5K employees1,001 - 5,000 employees
Contractor
Re-posted 4 days ago
Job description
Company 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
We are located in Miami Lakes, FL now but in November we are moving to Weston, FL.
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