- UpvoteDownvoteShare Job
- Suggest Revision
OCertified Risk Adjustment Coder (CRC) certification. Apply longitudinal thinking to identify all valid and appropriate data elements and opportunities for data capture, through the lens of HHS Risk Adjustment.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Assesses client operations, coding, risk adjustment and compliance programs, revenue cycle and overall strategy. There is a central focus on healthcare regulatory, coding, risk adjustment, compliance, reimbursement, and strategy.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
In-depth knowledge of the False Claims Act. In-depth knowledge in one or more of the following payment methodologies: IPF, IRF, CAH, RHC, Home Health/Hospice, Infusion/Injection coding, IPPS, OPPS, MPFS, interventional radiology coding and/or Risk Adjustment.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Wellness risk adjustment assessments for the Medicare population. About AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Specifically looking for candidate with CMS/Medicare/Encounters/Risk-adjustment/Medical Claims experience within the healthcare domain. Specifically looking for candidate with CMS/Medicare/Encounters/Risk-adjustment/Medical Claims experience within the healthcare domain.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Maintains cross-functional relationships with other MVP departments, including but not limited to, Analytics, Risk Adjustment, IT and Technical teams, Health Management, and Operations, to ensure efficient and coordinated efforts.
$56,200ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Serve as an internal subject matter expert (SME) and ensure readiness of D-SNP operational functions and performance (e.g., Marketing, Sales, Enrollment, Risk Adjustment, STARs). Manage the annual Medicare/D-SNP plan benefit package design and bid filing with CMS, ensuring accuracy and timeliness of submissions as well as desk review inquiries.
$120,686 - $156,735.06 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Required healthcare experience includes 1) software with an emphasis on compliance and clinical decision support (including electornic health records systems) and 2) experience in the payer market including data management and risk adjustment.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Oversees the submission and assures the quality of diagnostic data submitted to CMS for risk-adjustment. Oversees the submission and assures the quality of diagnostic data submitted to CMS for risk-adjustment.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Preferred:Five years of CPT and diagnosis coding experience in a healthcare provider or a third party payer and 3 year of experience as an instructor/trainerClinical knowledge and exposure to risk adjustment codingWe're proud to share that Virginia Mason Medical Center was recognized among the Best Hospitals in Washington state by U.S. News & World Report.
$29.03 - $42.1 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.
Starting at $161,914.25 - $315,732.79 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC®) credential or Certified Professional Coder - Hospital (CPC-H®) or Certified Risk Adjustment Coder (CRC.
Full-timeWork from homeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Lead Risk Adjustment & Coding- Clinical Documentation Improvement Specialist STRONGLY PREFERRED. Leads Risk Adjustment operations including provider education, data analysis, audits and overseeing record request process.
ExpandApply NowActive JobUpdated 3 days ago
risk adjustment jobs
FEATURED BLOG POSTS
How to Conduct a Performance Review (With Examples)
In a world where the smallest mistake can cost your business tens of thousands in lost revenue, your talent is key to keeping your edge on the market and driving growth. However, managing a workforce of any size can be a challenge. Employees come with their own particular skill set, ambitions and flaws. So, it can be difficult to uncover their individual drivers. Not to mention the challenges brought on by the hybrid and remote working models where in-person interactions have become few and far between.
How to Recruit Passive Candidates
Learning to recruit passive candidates is a different ballgame than recruiting active ones. While an active candidate is someone who is currently looking for a new job, a passive candidate tends to be the opposite. Passive candidates are either already working or not looking to work. So, instead of these candidates coming to you, you'll have to find them and reach out to them first.
How to Effectively Recruit Employees
Today, hiring and retaining talent looks much different than it did only two or three years ago. Financial instability and the strain on our mental health brought on by the pandemic has made everyone more wary and selective of their workplace and employer. Whereas in the past people might have prioritized promotions and financial reward, today they look at other factors such as workplace flexibility, personal fulfillment and values alignment.
How Many Hours is Part-Time vs. Full-Time Work?
Growing up you watched your parents shuffle to and from the office, held hostage to their 9 to 5. If jammed-packed schedules and deadlines sound frightening, you might consider pivoting your search to part-time jobs. In fact, even employers have shifted their preference, selecting more people open to the idea of flexible working hours.
How to Make a Job Offer More Competitive
Money alone makes it hard to attract and retain top-notch candidates, especially when you are competing with larger businesses and corporations in your industry. So, instead of focusing on money, figure out how to make a job offer more competitive when you can't offer more money.
5 Ways to Stretch Your Hiring Budget
Many businesses across the country have adjusted business operations to make it through the pandemic. After a period of hardship, many business owners, like yourself, are ready to start recruiting and rebuilding a bigger, more skilled workforce - only now you have to do it with a smaller hiring budget.
How to Ask for a Raise at Work
Here we go again; it’s time to talk money. Whether you’re one year in at a new company or approaching year five on the same team, learning how to ask for a raise should be part of your long-term career plan. These conversations are rarely fun (thanks to society, which has conditioned us to believe that money is taboo), but they are necessary if you want to, well, get paid what you’re worth. Trust us, there’s a lot of money on the table for taking. Below, we’ll discuss tips on timing, approach, and follow-up.