Medicare Risk Adjustment Jobs in Dallas, TX (NOW HIRING)

Perform accurate HCC risk adjustment coding for Medicare populations * Review and code medical records in accordance with ICD and risk adjustment guidelines * Meet established quality standards and ...

Position Summary As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk ...

... and Medicare RADV (Risk Adjustment Data Validation). This is a Texas-based remote position, and the candidate must reside within 150 miles of Irving, Texas. This role will be required to attend ...

Experience with CMS MSSP quality reporting, risk adjustment, and performance improvement preferred ... for Medicare beneficiaries.**Data, Analytics & Reporting*** Partner with analytics and finance ...

Experience with the risk adjustment and reimbursement landscape (Medicare Advantage, ACA, Medicaid managed care, HCC coding, RAF optimization, RADV, and documentation/compliance) is strongly ...

... Medicare Shared Savings Program (MSSP) Accountable Care Organization and other Value-based Care ... Experience with CMS MSSP quality reporting, risk adjustment, and performance improvement preferred.

... Medicare Shared Savings Program (MSSP) Accountable Care Organization and other Value-based Care ... Experience with CMS MSSP quality reporting, risk adjustment, and performance improvement preferred.

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Red Oak, TX. This unique opportunity adapts to your ...

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Red Oak, TX. This unique opportunity adapts to your ...

Experience with Medicare Advantage, value-based care, clinical documentation integrity, risk adjustment, or clinician-performance programs. * Knowledge of documentation and coding requirements for ...

Provide comprehensive primary care services to adult and senior population within the Medicare ... Strong understanding of HEDIS, STAR ratings, risk adjustment, and preventative care measures

Provide comprehensive primary care services to adult and senior population within the Medicare ... Strong understanding of HEDIS, STAR ratings, risk adjustment, and preventative care measures

Provide comprehensive primary care services to adult and senior population within the Medicare ... Strong understanding of HEDIS, STAR ratings, risk adjustment, and preventative care measures

Provide comprehensive primary care services to adult and senior population within the Medicare ... Strong understanding of HEDIS, STAR ratings, risk adjustment, and preventative care measures

Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality ... Medicare HCC Mode; or any combination of education and experience, which would provide an ...

... risk Medicare Advantage, and REACH. In this role, you will guide teams, empower providers, and ... Establish KPIs and performance standards that drive quality, risk adjustment accuracy ...

... submitting Risk Adjustment Factor Data and HEDIS information.* Maintains relationships with ... Medicare/Medical/ASP/AWP).* Identifies new cost-saving possibilities through working with various ...

NCQA certification Experience Requirements * 4+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred) * 2+ years of HEDIS or Risk Adjustment experience ...

Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory ... risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue ...

Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory ... risk adjustment methodologies. * Experience in coding audits, denial resolution, and revenue ...