- Robert Half Accountemps (Nashville, TN)
- Description Immediate need for a CRC Risk Adjustment Medical Coder to join our dynamic healthcare team on a 100% REMOTE basis. The individual must possess ... and at least 2 years of relevant experience in risk adjustment medical coding. In...this role, the talent will be responsible for reviewing medical records , assigning appropriate diagnosis codes as… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …of ICD\-10 coding standards required\. The Senior Care division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\. In this ... **Job Responsibilities** + Maintain compliance with CMS risk adjustment diagnosis coding guidelines\. +...coding guidelines\. + Perform comprehensive 1st pass reviews of medical records and physician assessment forms \(HCC… more
- Robert Half Accountemps (Chandler, AZ)
- …issues. + Organize and carry out extensive defense audits of patient medical records with insurance company representatives to confirm supportive documentation ... in Los Angeles is in the need of a Medical Coder for a Medical Chart Auditor....handle bill holds related to charge reviews held by Risk Management, coordinating approvals and bill release process. +… more
- CenterWell (Carson City, NV)
- …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 ...internal policies and guidelines while analyzing coding information and medical records . May participate in provider education… more
- Fallon Health (Worcester, MA)
- …and report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details ... submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart...Ability to abstract and code diagnosis information from the medical record . + Medical terminology… more
- Banner Health (Phoenix, AZ)
- …and develops clinical strategies and educational initiatives around the impact that accurate risk adjustment has on the performance of our MA, MSSP, Medicaid, ... as the clinical DYAD to the Executive Director of Risk Adjustment , co-leading a robust team that...implementing and maintaining a patient-centered, healing culture. Proven track record of partnering with medical staff to… more
- Intermountain Health (Las Vegas, NV)
- …leaders, physicians, APP's, and other staff about documentation and risk adjustment . + Reviews medical records documentation for reimbursement, severity ... practice providers (APP), and other staff about documentation and risk adjustment in order to improve the...mortality. + Identifies opportunities for improving the quality of medical record documentation and confers with the… more
- 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 the efficacy ... of our Risk Adjustment Program. Your role involves leading...are valid. + Compiles, analyzes, and summarizes data from medical records into various formats; coordinates education… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS- Risk ... any other chart coding functions, by performing moderately complex medical record review and coding, ensuring compliance...guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as,… more
- The Cigna Group (Nashville, TN)
- …activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates with Cigna Compliance ... excel in a dynamic, fast-paced environment. The candidate must demonstrate solid command of risk adjustment . This compliance team member must be adept at working… more