Medicare Risk Adjustment Coder Jobs Near Me

Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to ...

Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their impact on risk adjustment outcomes. * Advanced analytical skills to identify risk adjustment leakage ...

... Medicare populations across Ohio. We go BeyondMedicine to deliver whole-person care through ... Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ...

Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...

Certified Risk Adjustment Coder (CRC) or Certified Documentation Integrity Practitioner (CDIP), preferred. Skills: * Proficiency with LMS platforms and virtual training tools. * Proficiency with EPIC ...

Description Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Springfield, OH. This unique opportunity ...

The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Medicare LCD/NCD guidance and state-specific Medicaid policies. * Knowledge of risk adjustment (HCC ...

The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Medicare LCD/NCD guidance and state-specific Medicaid policies. * Knowledge of risk adjustment (HCC ...

Monitors the status and progress of work and day-to-day adjustments in accordance with established ... Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines.

Monitors the status and progress of work and day-to-day adjustments in accordance with established ... for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines.

This role requires advanced knowledge of ICD-10-CM/PCS coding guidelines, Medicare Severity ... The analyst conducts pre-bill and post-bill audits of high-risk, high-dollar, and regulatory ...

... platform spanning risk adjustment, quality improvement, clinical intelligence, and member ... code. • Manage identity and access workflows through API-driven automation across Azure AD ...

... Code of Conduct * Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations, applicable Medicaid rules and government contracts, including risk ...

Assists in developing procedures to ensure records are properly assembled, coded, signed, indexed ... May notify residents, patients, and families of non-coverage of all Medicare or insurance ...

Assists in developing procedures to ensure records are properly assembled, coded, signed, indexed ... May notify residents, patients, and families of non-coverage of all Medicare or insurance ...

Perform billing and payment reconciliations across Medicare, Medicaid and subsidized or private ... adjustments and reconciliations for management review * Communicate with personnel regarding coding ...

Perform billing and payment reconciliations across Medicare, Medicaid and subsidized or private ... adjustments and reconciliations for management review * Communicate with personnel regarding coding ...

Perform billing and payment reconciliations across Medicare, Medicaid and subsidized or private ... adjustments and reconciliations for management review * Communicate with personnel regarding coding ...

Research federal, state, and non-governmental requirements to assign compliant billing codes for ... Completes audits for Legal, Risk Management, Managed Care, and Revenue Cycle. 5. 10% Special ...

Research federal, state, and non‑governmental requirements to assign compliant billing codes for ... Completes audits for Legal, Risk Management, Managed Care, and Revenue Cycle. * 10% Special ...