City/StateVirginia Beach, VA Work ShiftFirst (Days) Overview: Overview Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record
City/StateVirginia Beach, VA Work ShiftFirst (Days) Overview: Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA! Hours: Monday - Friday, 8:00AM -5:00PM, dayshift. This is a hybrid position that offers a combination
Its rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.
Job Title: HCC / Risk Adjustment Medical Coder Location: Remote, US Shift Hours: Applicant should be available to work from 6 AM to 6 PM EST. Pay Rate: $22/hr. Candidates must be available to commit to a minimum of
We are hiring a Risk Adjustment Medical Record Coder at BCBST! In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to
Sr. Associate, Health Care Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankuras Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical,
Remote Contract Position Job Duties: Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment Meet department production and quality standards Research regulatory guidelines for supporting documentation Prepare coding reports using excel Prepare oral and/or written reports
Medical Risk Adjustment Coder The Medical Risk Adjustment Coder supports the physician practices and the Care Coordination Department with Coding Improvement activities using various clinical data systems. Responsibilities include collaborating with internal and external clients to streamline and optimize accurate diagnosis code
Job Title Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCCs) codes to report for the calendar year. Communicates (via Epic and in person) with providers
About IKS Health For more information, visit: www.ikshealth.com IKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care. Combining pragmatic
Company :Highmark Inc. Job Description : JOB SUMMARY 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
POSITION SUMMARY/RESPONSIBILITIES The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing
JOB DESCRIPTION Job Summary Provides audit support for Molina enterprise risk adjustment activities. Responsible for developing, recommending and implementing controls and cost-effective approaches to minimize the organizations risks effects. Identifies and analyzes potential sources of loss to minimize risk, and
Hours: Shift Start Time:7:30 AM Shift End Time:4:30 PM AWS Hours Requirement:8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements:As Needed On-Call Required:No Hourly Pay Range (Minimum - Midpoint - Maximum):$34.170 - $44.090 - $49.370
Your Role The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the role helps to ensure the accuracy,
Hi, were Oscar. Were hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started
Your Role The Risk Adjustment Compliance Specialist, Principal is responsible for ensuring organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medicaid and Medicare Advantage lines of business. This role involves auditing, monitoring, and evaluating risk adjustment processes, identifying
JOB SUMMARY: The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting
Job DetailsJob Location: Huntington Beach Office - Huntington Beach, CA 92647Position Type: Full TimeSalary Range: $72,800.00 - $80,000.00 SalaryThis position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County.Are you
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united