Trabajos risk adjustment coding en Estados Unidos - Page 2

Veradigm is seeking a talented Senior Software Engineer to use best coding practices to identify, document, build, and support the development of the Healthcare Risk Adjustment and New Product suite. ...

If you have experience as a certified coder, medical coder, Medicare risk adjustment, CPC, CRC, medical coding specialist, remote coder, medical coding, MRA, HCC, hierarchal condition categories, or risk adjustment, we would love for you to apply!Apply to become part of the team that is not only ...

This job is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS.Directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS.Assesses viability of current direction/projects/operations and recommends strate...

Primary responsibilities include designing and carrying out coding quality audits of Risk Adjustment vendors and providers, reviewing member charts to determine additional coding opportunity, and educating internal and external staff about compliant coding. The Risk Adjustment Coding Quality Mana...

Position Overview:** The Risk Adjustment Coding Manager will lead our risk adjustment efforts to achieve effective documentation and coding practices while improving provider relationships.The Manager will identify and maximize practice and process improvement opportunities, provider performance ...

Responsible for developing, implementing, and maintaining risk adjustment functions and processes for the client, leading a team of coding auditors, and facilitating the improvement in overall quality, compliance, completeness, appropriateness, and accuracy of documentation and coding for profess...

Proficient in ICD-10 coding and strong knowledge of ICD-9 and CPT coding. The ACO Coding Auditor is responsible for reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encountering information as it pertains to Medicare Risk Adjustment. Provide...

You must hold an active AAPC certificate as a Certified Professional Coder (CPC) or equivalent and/or AAPC Certified Risk Adjustment Coder (CRC) or equivalent required. The Certified Professional Coder conducts efforts related to ensuring the coding integrity of PPRM through auditing and clinical...

Essential Responsibilities:** .Manage end-to-end revenue optimization initiatives for PacificSource Medicare Advantage plans and Commercial Exchange plans.Lead cross functional revenue teams.Oversee contracted vendor activities and overall performance in the areas of risk adjustment, coding impro...

Title: Risk Adjustment Specialist Duration: 4-month contract to hire Location: Campbell, CA Pay Rate: $30-39/hr Must Haves: 5+ years of experience with risk adjustment coding Must have active CRC certification Experience providing feedback and findings to physicians Experience being provider faci...

Job Title: Coding Manager Location: San Diego, CA 92173 (Hybrid, minimum weekly onsite) Schedule: Monday – Friday 8am – 5pm Duration : Direct Hire Position Summary: Responsible for developing, implementing, and maintaining risk adjustment functions. and processes for San Diego PACE, leading a tea...

Minimum of three years related experience and training in a medical office environment, preferably in a financial-medical setting, or a combination of education and experience in financial-medical ...

Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. NP ...

Collaborate, educate and train clinical support staff and providers on risk adjustment ... Advanced, applied knowledge of ICD-CM codes, coding conventions and coding guidelines

This leader will be a subject matter expert in clinical documentation and risk adjustment coding. This person will work closely with the providers across Hopscotch Primary Care and lead the ...

Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care

Certified Risk Adjustment Coder (CRC) * Certified Coding Specialist for Providers (CCS-P ... Excellent understanding of medical terminology, disease process and anatomy and physiology

... coding * 3+ Experience with Medicare risk adjustment coding and HCC coding (retrospective and ... The risk adjustment coder will be responsible for: -Performing medical record audits to ensure ...

... risk adjustment operations (particularly on the prospective side), value-based care, ICD-10, CPT and HCPCS coding principles and guidelines, and population health management. Incumbent candidate must ...

With the focus on achieving year over year improvement on Risk Adjustment coding and documentation. Essential Duties and Responsibilities: * Review all available patient medical records: Medical ...

Reviews medical coding guidelines and regulations allowing to understand the impact of diagnosis coding on risk adjustment payment models including HCC, Chronic Illness Disability Payment System ...

Proficiency with diagnosis coding, healthcare billing, quality and Value Based Care measures and metrics. Risk Adjustment knowledge/experience is preferred. * Understanding of Medicare, ACD, Medicaid ...

Description About Advantmed Advantmed is a leading provider of risk adjustment, quality improvement ... coding, leading to greater value-based care. Learn more about our primary purpose here ...

Identify and implement practices and QA process improvement opportunities. * Monitor and comply with internal coding guidelines, department policies, and CMS risk adjustment guidelines, rules, and ...