Remote Medicare Risk Adjustment Jobs in Tennessee

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required ... Experience with Medicare Advantage populations * Experience with value-based care programs

... within Medicare Advantage, ACA programs, and Medicaid programs. We foster a culture where ... Note: • This is a remote, day-shift position working standard shift hours; 8am-5pm ET • ...

You will contribute to team success by working collaboratively in a remote environment, engaging in ... within Medicare Advantage, ACA programs, and Medicaid programs. We foster a culture where ...

Familiar with HEDIS and risk adjustment workflows * Medicare and Medicaid provider enrollment ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...

... Medicare, other MA and commercial plans, and internal guidelines * Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on coding rules and guidelines

Collaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment, CMS STARs/HEDIS, and overall population health approach to patient care in both formal presentations ...

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

... Medicare Risk Adjustment reimbursement initiatives. * Work assigned coding projects to completion. * Provide a high level of customer service to internal and external customers by consistently ...

The Risk Adjustment Medical Record Retrieval team at BCBST is seeking a Medical Record Retrieval ... with remote work flexibility. This role emphasizes accuracy in loading records into the coding ...

The Risk Adjustment Medical Record Retrieval team at BCBST is seeking a Medical Record Retrieval ... with remote work flexibility. This role emphasizes accuracy in loading records into the coding ...

This position will be remote within the designated market with occasional in-home patient treatment ... Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.

Remote position within the designated market with occasional in-home patient treatment visits and ... Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.

Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a ... Oversee strategic ACO/CIN projects as it relates to quality improvement, risk adjustment, network ...

... high-risk populations. These reviews include but are not limited to the assessment of drug ... Minimum 3 years' experience in Managed Care, Medicare and/orMedicaid settingspreferred * Experience ...

Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage ... Medicare compliance, knowledge of appropriate application for deductibles, sub-limits, SIR ...

... of Medicare and Medicaid cost reporting and audits. * The Lifestyle: 100% Remote (or hybrid) with ... DSH) adjustments, and state/local government funding programs. * Monitors legislative and ...

... apply Medicare Teaching Physician Guidelines. - Applying knowledge of applicable regulatory ... to minimize risk. - Continually improve coding quality and accuracy. - Responsibility for ...

Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Remote Position ... Demonstrates knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and ...

... contractual adjustments. * Maintains confidentiality of all protected health information (PHI ... One year of experience in insurance billing/insurance follow up for Medicare, Medicaid, commercial ...