Analyzes provider coding patterns and performs follow-up audits post-education to track ... HCC Risk Adjustment models. Proven ability to analyze data, present results effectively through ...
Analyzes provider coding patterns and performs follow-up audits post-education to track ... HCC Risk Adjustment models. Proven ability to analyze data, present results effectively through ...
CDI Product Manager
Pittsburgh, PA · On-site +1
Strong knowledge of outpatient CDI, ICD-10-CM coding, HCC risk adjustment, quality risk ... Remote Travel: May include up to 10% Relocation Assistance: Not authorized Must be legally ...
CDI Product Manager
Pittsburgh, PA · On-site +1
Strong knowledge of outpatient CDI, ICD-10-CM coding, HCC risk adjustment, quality risk ... Remote Travel: May include up to 10% Relocation Assistance: Not authorized Must be legally ...
Regional Medical Director- (Philadelphia/Baltimore)
Philadelphia, PA · Remote
$191K - $355K/yr
Experience with Stars performance, risk adjustment education, or provider engagement * Experience in matrixed environments and cross-functional clinical leadership. Remote work located in ...
Regional Medical Director- (Philadelphia/Baltimore)
Philadelphia, PA · Remote
$191K - $355K/yr
Experience with Stars performance, risk adjustment education, or provider engagement * Experience in matrixed environments and cross-functional clinical leadership. Remote work located in ...
Regional Medical Director- (Philadelphia/Baltimore)
Philadelphia, PA · On-site +1
$191K - $355K/yr
Experience with Stars performance, risk adjustment education, or provider engagement * Experience in matrixed environments and cross-functional clinical leadership. Remote work located in ...
Regional Medical Director- (Philadelphia/Baltimore)
Philadelphia, PA · On-site +1
$191K - $355K/yr
Experience with Stars performance, risk adjustment education, or provider engagement * Experience in matrixed environments and cross-functional clinical leadership. Remote work located in ...
Clinical Documentation Audit Specialist
Philadelphia, PA · Remote
$35 - $47.25/hr
Strong working knowledge and experience in clinical record reviews, 3M encoder coding systems ... Successful completion of Vizient Risk Adjustment Training. Work Shift Workday Day (United States of ...
Clinical Documentation Audit Specialist
Philadelphia, PA · Remote
$35 - $47.25/hr
Strong working knowledge and experience in clinical record reviews, 3M encoder coding systems ... Successful completion of Vizient Risk Adjustment Training. Work Shift Workday Day (United States of ...
Nurse Clinical Documentation Integrity (PACE)
Erie, PA · Remote
$33.75 - $45.25/hr
Remote, Monday through Friday, 8:00 a.m. to 5:00 p.m. Reliable availability is required during ... Collaborate with coding, risk adjustment, compliance, clinical leadership, and provider teams to ...
Nurse Clinical Documentation Integrity (PACE)
Erie, PA · Remote
$33.75 - $45.25/hr
Remote, Monday through Friday, 8:00 a.m. to 5:00 p.m. Reliable availability is required during ... Collaborate with coding, risk adjustment, compliance, clinical leadership, and provider teams to ...
Nurse - Clinical Documentation Integrity (PACE)
Erie, PA · Remote
$33.75 - $45.25/hr
Remote, Monday through Friday, 8:00 a.m. to 5:00 p.m. Reliable availability is required during ... Collaborate with coding, risk adjustment, compliance, clinical leadership, and provider teams to ...
Quick apply
Nurse - Clinical Documentation Integrity (PACE)
Erie, PA · Remote
$33.75 - $45.25/hr
Remote, Monday through Friday, 8:00 a.m. to 5:00 p.m. Reliable availability is required during ... Collaborate with coding, risk adjustment, compliance, clinical leadership, and provider teams to ...
Manager, Nurse Practitioner (IKC)
Bernville, PA · On-site +1
... remote role! Candidate must live in CST or EST. DaVita is seeking a full-time Nurse Practitioner ... Experience with Medicare Advantage risk adjustment, documentation, coding, and Health Risk ...
Manager, Nurse Practitioner (IKC)
Bernville, PA · On-site +1
... remote role! Candidate must live in CST or EST. DaVita is seeking a full-time Nurse Practitioner ... Experience with Medicare Advantage risk adjustment, documentation, coding, and Health Risk ...
Director of Risk
Lancaster, PA · On-site +1
... adjustments. * Oversee reserving practices, claim strategies, and root-cause assessments. Risk ... Remote Work Qualifications * Access to a reliable and secure high-speed internet connection. Cable ...
Director of Risk
Lancaster, PA · On-site +1
... adjustments. * Oversee reserving practices, claim strategies, and root-cause assessments. Risk ... Remote Work Qualifications * Access to a reliable and secure high-speed internet connection. Cable ...
... and risk factors for chronic diseases, utilizing remote monitoring tools when applicable ... Identifying any HCC codes requiring recapture reporting to CMS. * Maintaining comprehensive and ...
Quick apply
... and risk factors for chronic diseases, utilizing remote monitoring tools when applicable ... Identifying any HCC codes requiring recapture reporting to CMS. * Maintaining comprehensive and ...
Registered Nurse (PRN) - Bilingual (Korean - English)
Philadelphia, PA · On-site +1
$42/hr
... and risk factors for chronic diseases, utilizing remote monitoring tools when applicable ... Identifying any HCC codes requiring recapture reporting to CMS. * Maintaining comprehensive and ...
Registered Nurse (PRN) - Bilingual (Korean - English)
Philadelphia, PA · On-site +1
$42/hr
... and risk factors for chronic diseases, utilizing remote monitoring tools when applicable ... Identifying any HCC codes requiring recapture reporting to CMS. * Maintaining comprehensive and ...
CDI Growth Manager
Pittsburgh, PA · On-site +1
... coding practices, quality measures, risk adjustment, reimbursement optimization, regulatory ... Work Location - Remote Travel - upto 50% Relocation Assistance - Not Authorized Work Authorization ...
CDI Growth Manager
Pittsburgh, PA · On-site +1
... coding practices, quality measures, risk adjustment, reimbursement optimization, regulatory ... Work Location - Remote Travel - upto 50% Relocation Assistance - Not Authorized Work Authorization ...
CDI Growth Manager
Pittsburgh, PA · Remote
... coding practices, quality measures, risk adjustment, reimbursement optimization, regulatory ... Work Location - Remote Travel - upto 50% Relocation Assistance - Not Authorized Work Authorization ...
CDI Growth Manager
Pittsburgh, PA · Remote
... coding practices, quality measures, risk adjustment, reimbursement optimization, regulatory ... Work Location - Remote Travel - upto 50% Relocation Assistance - Not Authorized Work Authorization ...
Remote Licensed Professional Counselor (LPC) - Full-time Position
Reading, PA · Remote
$56K - $76K/yr
Regularly follow up with patients to assess progress, making necessary adjustments to treatment ... Adhere to the Code of Ethical Conduct for Clinical Professionals, maintaining the integrity and ...
Remote Licensed Professional Counselor (LPC) - Full-time Position
Reading, PA · Remote
$56K - $76K/yr
Regularly follow up with patients to assess progress, making necessary adjustments to treatment ... Adhere to the Code of Ethical Conduct for Clinical Professionals, maintaining the integrity and ...
Remote Licensed Professional Counselor (LPC) - Full-time Position
Reading, PA · Remote
$56K - $76K/yr
Regularly follow up with patients to assess progress, making necessary adjustments to treatment ... Adhere to the Code of Ethical Conduct for Clinical Professionals, maintaining the integrity and ...
Remote Licensed Professional Counselor (LPC) - Full-time Position
Reading, PA · Remote
$56K - $76K/yr
Regularly follow up with patients to assess progress, making necessary adjustments to treatment ... Adhere to the Code of Ethical Conduct for Clinical Professionals, maintaining the integrity and ...
Remote Licensed Professional Counselor (LPC) - Full-time Position
Reading, PA · Remote
$56K - $76K/yr
Regularly follow up with patients to assess progress, making necessary adjustments to treatment ... Adhere to the Code of Ethical Conduct for Clinical Professionals, maintaining the integrity and ...
Remote Licensed Professional Counselor (LPC) - Full-time Position
Reading, PA · Remote
$56K - $76K/yr
Regularly follow up with patients to assess progress, making necessary adjustments to treatment ... Adhere to the Code of Ethical Conduct for Clinical Professionals, maintaining the integrity and ...
Remote Licensed Professional Counselor (LPC) - Full-time Position
Reading, PA · Remote
$56K - $76K/yr
Regularly follow up with patients to assess progress, making necessary adjustments to treatment ... Adhere to the Code of Ethical Conduct for Clinical Professionals, maintaining the integrity and ...
Remote Licensed Professional Counselor (LPC) - Full-time Position
Reading, PA · Remote
$56K - $76K/yr
Regularly follow up with patients to assess progress, making necessary adjustments to treatment ... Adhere to the Code of Ethical Conduct for Clinical Professionals, maintaining the integrity and ...
Pharmacovigilance Expert - Remote
Philadelphia, PA · Remote
$70 - $80/hr
Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Benefit-Risk Assessment * MedDRA Coding * Seriousness & Causality Assessment * Expectedness ...
Quick apply
Pharmacovigilance Expert - Remote
Philadelphia, PA · Remote
$70 - $80/hr
Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Benefit-Risk Assessment * MedDRA Coding * Seriousness & Causality Assessment * Expectedness ...
Licensed Professional Counselor - Remote Outpatient Services
Harrisburg, PA · Remote
$57K - $79K/yr
... adjustments to care plans. * Work with patients to develop relapse prevention plans and provide ... Identify at-risk patients and contribute to the design of preventive programs catering to their ...
Licensed Professional Counselor - Remote Outpatient Services
Harrisburg, PA · Remote
$57K - $79K/yr
... adjustments to care plans. * Work with patients to develop relapse prevention plans and provide ... Identify at-risk patients and contribute to the design of preventive programs catering to their ...
Licensed Professional Counselor - Remote Outpatient Services
Harrisburg, PA · Remote
$57K - $79K/yr
... adjustments to care plans. * Work with patients to develop relapse prevention plans and provide ... Identify at-risk patients and contribute to the design of preventive programs catering to their ...
Licensed Professional Counselor - Remote Outpatient Services
Harrisburg, PA · Remote
$57K - $79K/yr
... adjustments to care plans. * Work with patients to develop relapse prevention plans and provide ... Identify at-risk patients and contribute to the design of preventive programs catering to their ...
Remote Hcc Risk Adjustment Coder information
See Pennsylvania salary details
$14.48 - $16.11
1% of jobs
$16.79 is the 25th percentile. Wages below this are outliers.
$16.11 - $17.73
57% of jobs
$17.73 - $19.36
6% of jobs
$20.94 is the 75th percentile. Wages above this are outliers.
$19.36 - $20.98
11% of jobs
$20.98 - $22.61
10% of jobs
$22.61 - $24.24
5% of jobs
$24.24 - $25.86
3% of jobs
$25.86 - $27.49
2% of jobs
$27.49 - $29.11
2% of jobs
$29.11 - $30.74
1% of jobs
$30.74 - $32.36
1% of jobs
$14
$20
$32
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Risk Adjustment Provider Educator
Indiana, PA • Remote
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 5 days ago
Millennium Physician Group rating
6.3
Based on 63 frontline employees who took The Breakroom Quiz
672nd of 898 rated healthcare providers
Job description
Job Description Summary
The Risk Adjustment Provider Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. This role will provide analytical interpretation of Risk Adjustment data to determine areas of focus and improvement opportunities. In addition, this role will facilitate and provide detailed analysis, reporting, training, education, and support to Providers and staff to promote accurate clinical documentation along with HCC opportunities identified via performed analysis.How will you make an impact & Requirements
Position is a hybrid role; work is remote with some travel to physician offices in the region. We are looking for 3 Educators to cover 3 different regions:
Central Region: Beech Grove, Camby, Carmel, Columbus, Greenwood, Indianapolis, Mooresville, & Plainfield
West Region: Brook, Crawfordsville, Lafayette, Rensselaer, West Lafayette, & Wheatfield
North Region: Cedar Lake, Chesterton, Crown Point, Dyer, Hammond, LaPorte, Lowell, Michigan City, Munster, Schererville, St. John, Valparaiso, & Winfield
Responsibilities
Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment initiatives.
Possesses a proven ability to analyze, report, and provide data insights.
Identifies documentation and coding improvement opportunities and gives guidance around best practice strategies in risk adjustment performance.
Analyzes provider coding patterns and performs follow-up audits post-education to track documentation and coding improvement.
Demonstrates knowledge and an ability to apply coding policies and guidelines to the provider documentation review process.
Possesses excellent attention to detail.
Stays current on applicable documentation guideline changes and rules.
Works effectively and efficiently within a team environment.
Adaptable to shifting priorities and demonstrates a willingness to do what it takes to meet team needs.
Understands and complies with policies and procedures for confidentiality of all patient records, HIPAA, and security of systems.
Promotes Millennium Physician Group's values.
Build relationships with the clinical and clerical teams to ensure open communication for questions concerning the Risk Adjustment program and its components
Demonstrate excellent guest service to internal team members and patients.
Perform other related duties as assigned.
Qualifications
Bachelor's Degree or equivalent work experience.
2+ years of experience in training program design and development
2+ years of experience in risk adjustment and ICD-10 coding in the Medicare Risk Adjustment
environment
Certified Risk Adjustment Coder (CRC) or similar.
Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC
Risk Adjustment models.
Proven ability to analyze data, present results effectively through provider education, and monitor the
effectiveness of the education provided.
Strong communication skills.
Intermediate Excel skills (Pivot tables, VLOOKUP, Advanced formulas, etc.) and data visualization skills.
Intermediate Microsoft PowerPoint skills with the ability to transform analytical output into simpleto-
understand visuals.
In-depth knowledge of ICD-10-CM diagnostic coding.
Must have excellent time management skills, be highly organized, self-motivated.
Excellent customer service, problem-solving skills, and attention to detail.
The ability to follow through timely on tasks is essential.
Possess excellent written, verbal, and interpersonal communication skills.
Must possess initiative; tact; poise; neat personal appearance; and physical condition commensurate
with the requirements of the position.
Project management of multiple initiatives with the ability to prioritize and meet deadlines.
Ability to work independently in a fast-paced, cross-functional environment.
Benefits:
3 weeks PTO & 8 paid holidays
Medical, Dental, Vision
Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
401(k) with match
Employee Wellness
Other Employee Discount programs like Tickets at Work and cell phone discounts
Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more
Why Millennium?
Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.
At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.
Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.
If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice.
Compensation Range:
$77,417.00to
$116,126.00The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.
What Millennium Physician Group employees say
Pay
Benefits
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About Millennium Physician Group
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Port Charlotte, FL, US
Year founded
2008