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Edifecs is a premier technology company in the U.S. Healthcare market with solutions focused on interoperability, workflows, risk adjustment, value-based care payments, and analytics. Edifecs is a frontrunner in providing solutions for B2B data exchange, streamlining key workflows in areas such as enrollment, risk adjustment, and alternative payment models.
$85,862 - $164,407 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Educate providers on proper coding, risk adjustment metrics, capturing documentation, and adhering to quality protocols. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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A partner of the Optum Care network, WellMed Medical Group, is seeking a nurse practitioner or physician assistant to join our Patient Support Unit team in and around Lubbock, TX.At Optum, we are transforming healthcare nationally while providing Physician-led care locally.
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Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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Monitor changes and updates to the risk adjustment approach employed by CMS. Prepare and analyze monthly estimates for Medicare Part D Risk Corridor and Coverage Gap Discounts. Broad understanding of managed care business and financial principals such as underwriting, medical management, physician reimbursement and risk management.
RemoteExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare and other populations. Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers.
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Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. Previous in-home Risk Assessment experience preferred.
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Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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Certified Risk Adjustment Coder Certification. They will stay abreast of current changes to the Risk Adjustment field and continue education to maintain high level proficiency.
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About Advantmed Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.
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1 years Risk Adjustment coding experience. 1 years Risk Adjustment coding experience. Working knowledge of ICD-10 CM guidelines and appropriate clinical documentation. Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded.
$65,000 - $85,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Working knowledge of Risk Adjustment. Considerable paid time away from work including PTO (Paid Time Off), s ick t ime, service t ime o ff, p aid h olidays, and f loating h olidays , allowing you to take time off when it suits you best.
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Participates in all clinical documentation improvement activities with the goal being an accurate and full capture of the burden of illness of our participants and appropriate risk adjustment.
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Working knowledge of ICD-10, CPT, HCPCS and revenue codes. MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Accountable for regulatory reporting within the organization and government entities.
$56,200 - $95,748 a yearExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Coordinate with the provider Network Management and the Quality Program to implement tactics for risk adjustment optimization, particularly for provider and member engagement activities.
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