POSITION SUMMARY: The Manager of Risk Adjustment Coding manages the day-to-day operations of the Risk Adjustment... on ICD-10-CM coding to assign risk scores to patients. Position: Manager, Risk Adjustment Coding Department: Clinical...
PURPOSE OF THIS POSITION The Provider Education and Risk Adjustment Manager serves in a lead role to support provider... of risk adjustment initiatives (HCC, RAF scoring), collaborate with coding teams and providers to ensure accurate capture...
! Job Title: Risk Adjustment Revenue Manager (Remote) Cost Center: 682891390 SHP-Strategic Finance Scheduled Weekly Hours: 40... Adjustment Revenue Manager is responsible for risk adjustment strategy and related revenue management for Security Health Plan...
Evaluation: The Manager will be responsible for risk adjustment program management and key supporting functions including the... and Project Management: The Manager will support department leadership in strategic planning efforts and annual risk adjustment...
medical record coding and quality processes Design, develop, test, and deploy reporting to support risk adjustment business... to support risk adjustment coding and medical record Experience in using business intelligence, data visualization, query...
Of NA Required Certifications, Registrations, Licenses Certified Professional Coder (CPC), and Certified Risk Adjustment Coder (CRC) Knowledge.... Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director...
and sequencing of risk adjustment diagnoses following established guidelines. Codes inpatient records periodically based on review... coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing...
by visiting the following link: Summary: Under the direction of the Risk Adjustment and Coding Manager with minimal... Professional Coder (CPC from AAPC) or Certified Coding Specialist (CCS from AHIMA). Certified Risk Adjustment Certification (CRC...
that diagnosis data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk... extract files for both revenue project and RADV. Assists with National and Targeted Risk Adjustment Data Validation audits...
, etc.. Ensure accurate assignment of all risk adjustment variables. The Coding/Quality Analyst will assist the Supervisor... Ensure Vizient risk adjustment variables have been assigned in final code set Make corrections as appropriate Ensure coding...
or must obtain within one (1) year of hire. Licenses and Certifications Preferred: Certified Risk Adjustment Coder (CRAC... as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating...
, inclusion, and accessibility. Role Overview We are seeking an exceptional Software Development Manager to lead multiple... start rather than as an afterthought. Risk Management: You excel at evaluating privacy and trust implications of new...
preferred. At least 2 years of leadership or supervisory experience. Experience with Medicare Advantage risk adjustment..., documentation, coding, and Health Risk Assessments for high-risk or chronically ill populations. Demonstrated clinical expertise...
preferred. At least 2 years of leadership or supervisory experience. Experience with Medicare Advantage risk adjustment..., documentation, coding, and Health Risk Assessments for high-risk or chronically ill populations. Demonstrated clinical expertise...
more: . Position Summary: The Senior Manager, Technical Lead / Solution Architect combines strategic solution design with hands..., integrates enterprise platforms (e.g., Veeva Vault PromoMats and Adobe Experience Manager), and incubates Generative...
, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay Range... a fresh perspective on workplace flexibility. Position Purpose: The Manager, Healthcare Analytics drives the execution...
customer issues to achieve customer satisfaction? About This Business LexisNexis Risk Solutions is the essential partner... in the assessment of risk for businesses. We offer a multitude of solutions focused on helping businesses of all sizes drive...
Qualifications: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) Experience in managed care working... (Risk Adjustment/STARS Calculation models) Proven solid communication and presentation skills Proven solid relationship...
Qualifications: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) Experience in managed care working... (Risk Adjustment/STARS Calculation models) Proven solid communication and presentation skills Proven solid relationship...
Risk Adjustment team processing all medical record requests in a timely and efficient manner ensuring accuracy... manner ensuring the correct medical record is obtained and valid for risk adjustment review purposes. Validates requests...