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 ...

... Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and ...

... 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 ...

Experience with risk adjustment, HCC coding, and clinical documentation standards (DSP/MEAT ... Knowledge of Medicare AWV requirements and quality measure specifications (HEDIS, Star Ratings)

... 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 ...

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 ... 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.

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.

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 ...

... risk for fraud and abuse. Includes, but is not limited to ... The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage ...

... records, Medicare reimbursements, diagnostic evaluations and programs). Protects patients and ... Makes or recommends necessary adjustments; * Follows standards of care set by State Board of ...

... records, Medicare reimbursements, diagnostic evaluations and programs). Protects patients and ... Makes or recommends necessary adjustments; * Follows standards of care set by State Board of ...

... records, Medicare reimbursements, diagnostic evaluations and programs). Protects patients and ... Makes or recommends necessary adjustments; * Follows standards of care set by State Board of ...

... 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 ...

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 ...