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TypeFull-Time
The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic ...
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The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic ...
SUMMARY The Risk Adjustment Coding Specialist is responsible for reviewing provider documentation of diagnostic data from medical record to verify that all Medicare Advantage and Commercial risk ...
The Risk Adjustment Coding Educator is an expert HCC Coder and is responsible for leading, creating and delivering education on HCCs and other related documentation practices to the Ambulatory ...
This is the perfect opportunity for a Registered Nurse with experience in population health strategies including quality, value based measures, and/or risk adjustment. The Coding Reviewer should have ...
Provide support and coding expertise to all programs that support risk adjustment and data validation efforts for Medicare, Commercial and PPO lines of business * Provide analytics, education, in ...
In this role The Risk Adjustment Coder II provides support and coding expertise to all programs ... Ensure coding and documentation accurately captures patient health status * Provide analytics ...
Medicare Risk Adjustment Coder Our Client is a growing healthcare organization based in ... Document Detailed Chart Audit Findings Including All Coding and Documentation Errors as Well as Any ...
Acts as trusted advisor on the activities of the Risk Adjustment Program Operations Department to ensure coding is accurate and correct. * Develops and directs the implementation of the Risk ...
This is a 1099 contract remote position to perform duties for Risk Adjustment Coding and Audit initiatives and IVA - Initial Validation Audit. As a clinical coder, you will be responsible, but not ...
The successful candidate will have an advanced understanding of the HCC risk adjustment methodology gained from HCC documentation, coding and provider education experience. An ideal candidate will ...
The Risk Adjustment Coder Educator will be responsible for designing and implementing a risk ... They will partner with the internal coding team to identify opportunities for education, draft an ...
The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic ...
... Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable guidelines, regulations and laws established by the Centers for Medicare and ...
Do you have the career opportunities a Risk Adjustment Coder you want with your current employer ... Develop and maintain coding reference sheets by specialty. * Update the HCC manual on a yearly ...
... Risk Adjustment and Quality Management programs. We enable health plans and at-risk providers to ... The coding is used in clinical decision making and insurance and Medicare/Medicaid reimbursement ...
Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting ... requirements What are the requirements needed for this position? * Active certified coder ...
... Risk Adjustment and HEDIS purposes. The goal of concurrent review includes facilitation of ... This individual must have a strong understanding and knowledge of CMS Coding and Documentation ...
Will need to be well grounded in sound medical coding practices, with experience working in the CMS Medicare Advantage and/or HHS Commercial risk adjustment model. Knowledge of HEDIS data collection ...
May have special projects that will entail a full coding review * Regularly and consistently achieve over 95% quality accuracy * Coder 2 Only- Assist with mentoring new Risk Adjustment Coders under ...
Performs functions necessary for review, audit and follow up of chart reviews for the Hierarchal Condition Category (HCC) Coding Risk Adjustment process for GlobalHealth's Medicare Advantage (MA ...
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