Risk Adjustment Analyst
Doral, FL · On-site
Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP Quality Reporting PROFESSIONAL COMPETENCIES * Expertise in analytics, statistics, data visualization, or ...
Risk Adjustment Analyst
Doral, FL · On-site
Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP Quality Reporting PROFESSIONAL COMPETENCIES * Expertise in analytics, statistics, data visualization, or ...
Risk Adjustment Analyst
Doral, FL · On-site
Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP Quality Reporting PROFESSIONAL COMPETENCIES * Expertise in analytics, statistics, data visualization, or ...
Risk Adjustment Analyst
Doral, FL · On-site
Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP Quality Reporting PROFESSIONAL COMPETENCIES * Expertise in analytics, statistics, data visualization, or ...
HCC Risk Coder (CDIS) - Remote in FL
Leesburg, FL · On-site +1
$16.75 - $22.25/hr
An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ... MRA), HCC coding documentation guidelines, rules, and regulation. 4. Two years' demonstrated ...
New
HCC Risk Coder (CDIS) - Remote in FL
Leesburg, FL · On-site +1
$16.75 - $22.25/hr
An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ... MRA), HCC coding documentation guidelines, rules, and regulation. 4. Two years' demonstrated ...
New
HCC Coder
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...
Certified Medical Coder
Fort Myers, FL · On-site
$21 - $28.75/hr
Hcc Risk Adjustment Coder Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh ...
Certified Medical Coder
Fort Myers, FL · On-site
$21 - $28.75/hr
Hcc Risk Adjustment Coder Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh ...
Physician Advisor - Strategic Quality Performance
Lakeland, FL · On-site
$161K - $215K/yr
... of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment ... non-covered services, authorizations, and inpatient/observation stay related denials. May perform ...
Physician Advisor - Strategic Quality Performance
Lakeland, FL · On-site
$161K - $215K/yr
... of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment ... non-covered services, authorizations, and inpatient/observation stay related denials. May perform ...
Physician Advisor - Strategic Quality Performance
Lakeland, FL · On-site
$161K - $215K/yr
... of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment ... non-covered services, authorizations, and inpatient/observation stay related denials. May perform ...
Physician Advisor - Strategic Quality Performance
Lakeland, FL · On-site
$161K - $215K/yr
... of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment ... non-covered services, authorizations, and inpatient/observation stay related denials. May perform ...
Manager Risk Adjustment Program
Tampa, FL · On-site +1
... HCC (Hierarchical Condition Category) and ICD-10 coding practices. * As a subject matter expert and ... Certified Risk Adjustment Coder (CRC); Certified Coding Specialist (CCS); or Registered Health ...
Manager Risk Adjustment Program
Tampa, FL · On-site +1
... HCC (Hierarchical Condition Category) and ICD-10 coding practices. * As a subject matter expert and ... Certified Risk Adjustment Coder (CRC); Certified Coding Specialist (CCS); or Registered Health ...
... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience ...
... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience ...
... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience ...
... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience ...
... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School or Equivalent Experience: 2-5 years of risk adjustment coding E/M procedures and ...
... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School or Equivalent Experience: 2-5 years of risk adjustment coding E/M procedures and ...
... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School or Equivalent Experience: 2-5 years of risk adjustment coding E/M procedures and ...
... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School or Equivalent Experience: 2-5 years of risk adjustment coding E/M procedures and ...
Certified Risk Adjustment Coder
$20.50 - $27.75/hr
Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... Demonstrates understanding of risk adjustment payment models * Uses clinical reasoning and critical ...
Certified Risk Adjustment Coder
$20.50 - $27.75/hr
Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... Demonstrates understanding of risk adjustment payment models * Uses clinical reasoning and critical ...
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... HCC risk adjustment model Ability to meet productivity and accuracy standards Ability to defend ...
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... HCC risk adjustment model Ability to meet productivity and accuracy standards Ability to defend ...
Certified Risk Adjustment Coder
Hialeah, FL · On-site
$20.50 - $27.75/hr
Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... Demonstrates understanding of risk adjustment payment models * Uses clinical reasoning and critical ...
Certified Risk Adjustment Coder
Hialeah, FL · On-site
$20.50 - $27.75/hr
Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... Demonstrates understanding of risk adjustment payment models * Uses clinical reasoning and critical ...
Certified Risk Adjustment Coder
Hialeah, FL · On-site
$20.50 - $27.75/hr
Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... Demonstrates understanding of risk adjustment payment models * Uses clinical reasoning and critical ...
Certified Risk Adjustment Coder
Hialeah, FL · On-site
$20.50 - $27.75/hr
Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... Demonstrates understanding of risk adjustment payment models * Uses clinical reasoning and critical ...
Non Union Hcc Risk Adjustment information
What is the difference between Non Union Hcc Risk Adjustment vs Non Union Medical Coder?
| Aspect | Non Union Hcc Risk Adjustment | Non Union Medical Coder |
|---|---|---|
| Credentials | Certifications in risk adjustment, coding, or healthcare analytics | Medical coding certifications (CPC, CCS, etc.) |
| Work Environment | Insurance companies, healthcare analytics firms, or risk adjustment departments | Hospitals, clinics, or medical billing companies |
| Industry Usage | Focuses on risk scoring for insurance reimbursement and healthcare planning | Focuses on translating medical records into codes for billing and documentation |
Non Union Hcc Risk Adjustment specialists primarily analyze health data to optimize risk scores for insurance purposes, while Non Union Medical Coders focus on accurately coding medical records for billing. Both roles require healthcare certifications but differ in their core functions and work settings.
What are the most commonly searched types of Hcc Risk Adjustment jobs in Florida? The most popular types of Hcc Risk Adjustment jobs in Florida are:
What are popular job titles related to Non Union Hcc Risk Adjustment jobs in Florida? For Non Union Hcc Risk Adjustment jobs in Florida, the most frequently searched job titles are:
- Freelance Remote Risk Adjustment Coder
- Remote Medical Chart Auditor
- From Home Optum Health Coding Risk Adjustment
- Manager Hcc Risk Adjustment
- Permanent Hcc Risk Adjustment
- Remote Hcc Risk Adjustment
- Seasonal Hcc Risk Adjustment Coding
- Certified Billing Coding Specialist Cbcs
- Cic Certification
- Hourly Remote Cpc Coder
What job categories do people searching Non Union Hcc Risk Adjustment jobs in Florida look for? The top searched job categories for Non Union Hcc Risk Adjustment jobs in Florida are:
What cities in Florida are hiring for Non Union Hcc Risk Adjustment jobs? Cities in Florida with the most Non Union Hcc Risk Adjustment job openings:
Job description
SCOPE OF ROLE
The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk Adjustment and Quality Analytics in a Value-Based Care Setting. The Risk Adjustment Analyst will be the lead in the design, implementation, and maintenance of all Risk Adjustment and Quality Data and Dashboards for our entire NeueHealth Portfolio: ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as Analytics, Risk Adjustment and Quality, Medical Economics, & Clinical Operations.
This is an onsite position in Doral, FL.
ROLE RESPONSIBILITIES
- Proactively collaborate and interact with business stakeholders across the organization to understand analytics needs, develop plans to address those needs, and deliver analytics to meet those needs.
- Using SQL code, mine data on medical spend, clinical data and population health data and derive meaningful insights to improve operations such as trends, correlations and patterns.
- Own the data. You are responsible for accurate presentation of your data elements, so ensuring data integrity is paramount.
- Thoroughly analyze data, quickly identify relevant information, and transform it into a meaningful output. Conduct thoughtful presentations, online or in person, to stakeholders with actionable findings for improvement.
- Provide concise data reports and clear data visualizations for executive level reporting through Power BI, Excel and other tools used by the organization.
- Create data processes that are consistent, repeatable, and scalable.
- Conduct Quarterly Reconciliations to identify dropped HCCs and prepare supplemental data submission files according to payor partner specifications.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
- Bachelor's degree is required.
- Comprehensive understanding of risk adjustment and quality programs across all government-regulated lines of business, including Marketplace, Medicaid, and Medicare programs.
- Five (5) or more years of hands-on SQL code development is required, including expertise with programming languages like Scala or Python.
- Three (3) or more years of experience in healthcare field dealing with claims/utilization as it pertains to Risk Adjustment and Quality.
- Three (3) or more years of analytics experience (Required)
- Two (2) or more years of Power BI experience (Required)
- Experience with Databricks (Preferred)
- Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models
- Familiarity with HEDIS and MSSP Quality Reporting
PROFESSIONAL COMPETENCIES
- Expertise in analytics, statistics, data visualization, or programming
- Dedicates exacting attention to detail and data quality
- Eager learner, collaborative partner, easy communicator, and careful analyst
- Passion for empirical research and answering hard questions with data
About Centrum Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Miami, FL, US