in CDI processes Familiarity with risk adjustment concepts and processes Understanding of Patient Safety Indicators (PSI... and assist the Manager with personnel-related duties. In this role, you will organize, direct, coordinate, and manage the...
measures, and risk adjustment initiatives. Present payer and performance scorecards to review benchmarks, identify gaps... for HEDIS/STAR and risk adjustment benchmarks. Analyze practice-level data and scorecards to identify trends, gaps...
on bringing value back to the point of care via our advanced risk adjustment and quality analytics tools... a minimum of four days per week. Primary Responsibilities: Onboard and implement complex risk adjustment projects, serving...
), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist... productivity report to HIM manager by defined deadline. Meets and maintains HIM coding quality and productivity standards. Attends...
launch. Stay ahead of regulatory and payer trends (CMS rules, MA and risk adjustment, value-based care, interoperability... Intake, Capacity Logistics, Care Coordination, and Revenue Cycle Management (RCM). As the general manager and portfolio...
Senior AI Engineer, Business Solutions ClearBridge Investments is a leading global equity manager with over $180... to internal builds, quantify TCO, lock in risk, compliance posture, and speed to value. Present recommendations and rollout plans...
-based care or risk-adjustment models is a plus. Exceptional attention to detail, problem-solving abilities, and the... Support and Maintenance: Serve as the primary manager of the Power BI revenue model(s) that calculate revenue and gross...
on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data... Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with CMS...
assignment and sequencing of risk adjustment diagnoses following established guidelines. Reviews work queues to identify charts... billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis...
are required, and experience with risk adjustment is highly valued. Epic Clarity Data Model certification in one or more modules—such as EpicCare... Schedule: Monday to Friday, 8 AM – 5 PM (Pacific Time). Interview Process: 2-step process (1 Zoom interview with Manager and 1...
Support, Team Leader, or to an Team Manager, Underwriting Support. The Senior UW Asst is an individual contributor within the... Underwriting Support Unit of the unit’s field operations. This role assists the underwriters by screening risk offerings...
reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment...Position Summary Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...