- VNS Health (Manhattan, NY)
- OverviewAs the Clinical Manager for Risk Adjustment , you will be at the forefront of our mission to optimize clinical coding practices and enhance ... of workflow enhancements, changes, and new products. + Provides updates to Risk Adjustment Stakeholders on program clinical coding and audit activities. +… more
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Professional + Employment Type: Full - ... Requirements: None Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office staff… more
- Fallon Health (Worcester, MA)
- …have shared ownership within the Analytics staff for product line(s) as assigned by the Risk Adjustment Operations and Analytics Manager and will be a SME ... nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences,...Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to… more
- CenterWell (Carson City, NV)
- …our caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education... ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and… more
- Fallon Health (Worcester, MA)
- …feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet or ... and report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details… more
- Baylor Scott & White Health (Columbia, SC)
- …AMA and the Federal Register, and sharing knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the ... strategies and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range...+ Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards… more
- Healthfirst (NY)
- …strategies. + Works collaboratively across lines of businesses, such as finance, clinical , medical economics, operations, risk adjustment , and population ... one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and...areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance, Medical and Pharmacy… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …ensure coding and clinical documentation accuracy and consistency. Collaborating with the Manager of Risk Adjustment Operations, this position will also ... colors to blue. This position is eligible for the Flex persona The Risk Adjustment Senior Coding Quality Auditor & Educator provides education and training for… more
- State of Maine, Bureau of Human Resources (Bangor, ME)
- Hospital Nurse III - Risk Manager Quality & Informatics Bangor , Maine , United States | Nursing | Full-time Apply by: Sept. 24, 2024 Apply with Linkedin Apply ... promotional candidates will follow contractual requirements. Job duties: The Risk Manager performs a variety of functions...activities related to the review and mitigation of serious clinical risk and safety incidents. Manages initiatives… more
- Actalent (Deerfield, IL)
- Clinical Trials Project Manager Lead and coordinate project activities and leads completion of deliverables in alignment with overall program strategy ... considering impact to risks/ risk mitigation, budget, effort estimates and schedule + Serve...Sponsor and other functional team members for the assigned clinical trial project MUST have CRO Clinical … more