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...
relative to Risk Adjustment, including accurate documentation, coding specificity, and compliance with CMS and payor...General Summary: This position is accountable for the successful performance of The Toledo Clinic’s 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...
or coordination. The Senior Manager leads a team of adjustment analysts and dispute specialists, building a culture of accuracy... solutions Provides executive summaries for high-risk or high-complexity adjustment issues. Manages staff and the day-to-day...
around design and delivery of all aspects of documentation and coding training and implements action plans for risk adjustment... on "measured" learning outcomes. Collaborates with the Manager of Physician Documentation and Coding Education to develop strategy...
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...
Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment...Manager, HR Operations Glendale, CA Reveleer is a healthcare data and analytics company that uses Artificial...
Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment...Manager, HR Operations Glendale, CA Reveleer is a healthcare data and analytics company that uses Artificial...
, coding standards, and regulatory requirements. The Manager oversees operational QA testing, examiner-level audit programs... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Manager, Claims...
risk and recommends quality assurance protocols to ensure accuracy across the claims ecosystem. The Manager manages... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Manager, Claims...
programs (HEDIS, STARs, CAHPS), and risk adjustment/RAF concepts. Proven ownership of reporting operations: SLAs, defect... skilled and detail-oriented Director (or Senior Manager), Reporting & Analytics Operations to own our standardized reporting...
, 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...