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Sr Risk Adjustment Specialist
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Full-time
- Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts.
- The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates - together with VNA Care - work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy.
- disease (HCC or other risk model) diagnoses are captured allowing the opportunity for optimal health risk scores.
- Reviews clinical data from EpicCare and outside claims to ensure that all chronic disease (HCC or other risk model) diagnoses have been identified and appropriately captured on the patient's medical record problem list.
- Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in accordance with department clinical guidelines for accuracy and documentation.
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