coding professionals that would support an accurate DRG assignment, SOI, and/or ROM. Assists in the mortality review and risk... reviews. Required Qualifications: 12 months of experience as a Clinical Documentation Specialist Graduate of accredited...
to accurately reflect quality of care, severity of illness and risk of mortality and risk adjustment factor to support correct... coding, reimbursement, and quality initiatives. Education Associates degree required, BSN preferred Experience Five...
, submission, and analysis of diagnostic risk adjustment data. Reviews coding and demographic files to ensure specificity of data... physicians, and Nurse Practitioners. The Medical Director also interfaces and collaborates with specialist physicians in the...
to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. Directs instructions and education activities for all Outpatient... Information Administrator) AHIMA RHIT (Registered Health Information Technician) AHIMA CCS (Certified Coding Specialist) or AAPC...
(Certified Coding Specialist) Preferred or Additional Requirements CRC (Certified Risk Adjustment Coder) required -or- CIC...Location: Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum...
Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American... Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) or Certified Coding Associate (CCA...
. Technically, this person will be a security specialist with one or more areas of deep expertise within application security... experience, secure coding, identity management and authentication, Web Application Security, cryptography, penetration testing...
include any combination of Team Lead, Underwriting Assistant, Sr. Underwriting Assistant, Specialist or Associate Underwriter... process changes, regulatory changes, policy booking, policy issuance, or adjustment backlogs. Captures takeaways and works...
they are coding to the highest specificity for both risk adjustment and quality reporting. Work is primarily performed at physician...), risk adjustment coding practices (ICD-10-CM), and Optum program administration including use of plan tools, reports...
they are coding to the highest specificity for both risk adjustment and quality reporting. Work is primarily performed at physician...), risk adjustment coding practices (ICD-10-CM), and Optum program administration including use of plan tools, reports...
understanding of the quality improvement process and risk-adjustment methodologies used in ratings and rankings platforms (e.g...., Elixhauser comorbidities, HCCs, SOI, ROM, POA, etc.) Robust understanding of risk adjustment specific to Mortality...
), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC... (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder). Qualifications...
Coding Specialist) Required or Additional Requirements CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified...Location: Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum...
Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC... (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment...
, and government value-based programs. This role leads enterprise strategies to improve cost efficiency, quality outcomes, risk... adjustment accuracy, and contract performance across lines of business along with other leaders in Banner Health Population...
: High School Diploma or Equivalent (Required)Certified Coding Specialist (CCS) - American Health Information Management... Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). For Physician Billing: Certified For Physician...
background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models) Microsoft Office specialist with proven...% Preferred Qualifications: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) Consulting...
Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder...), CRC (Certified Risk Adjustment Coder). What’s in it for you: At St. Luke’s, caring for people in the communities...
background within Medicare Advantage plans (Risk Adjustment/STARS Calculation models) Microsoft Office specialist with proven...% Preferred Qualifications: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) Consulting...
coders to maintain high-quality documentation standards, support accurate risk adjustment coding, and facilitate workflow.... Acts as a liaison and subject matter expert for internal and external customers in coding, billing, and risk adjustment...