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Utilizes nursing and coding knowledge to assist with review activities to support the Risk Adjustment process to include re-review of audit findings to ensure accuracy in documented HCC diagnoses and ICD-10 coding; review of various payer denial/rejection reports to identify areas for provider education.
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The Medicare Risk Adjustment Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract and validate medical record data.
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Certified Risk Adjustment Coder (CRC) OR Certified Professional Coder (CPC). Certified Risk Adjustment Coder (CRC) highly preferred. Reviews and works audit lists provided by System Lead of Risk Adjustment Operations, Population Health, and create reports from coding initiatives as defined.
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Certified Risk Adjustment Coder (CRC) from AAPC. Assist with ongoing training and education of Risk Adjustment Associates in order to increase awareness of the significance of Medicare Risk Adjustment (MRA) within the CMS Risk Adjustment model and IFP within the HHS Risk Adjustment model as well as the coding practices set forth by the Risk Adjustment production and quality standards.
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We're looking for an enthusiastic Risk Adjustment Coder to join our client's vibrant team! You'll use your skills to accurately code patient diagnoses using ICD-10, mapping them to Hierarchical Condition Categories (HCC) to keep our client's risk adjustment and reimbursement processes running smoothly.
$30 an hourExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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We are actively hiring for a Cyber Risk Analyst - Remote! Your work: Performs more complex work supporting implementation of IT risk management processes and cyber risk quantification (CRQ.
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Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs.
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Certified Risk Adjustment Coder (Preferred) Analyzes and translates moderately complex medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes, adhering to the CMS Risk Adjustment Models.
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Certified Risk Adjustment Coder (CRC) preferred. Ensures member medical records comply with CMS's Risk Adjustment Data Validation procedures. Develops, implements, and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. AAPC or AHIMA Certification (CPC, CRC, CCS) (Required.
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Certified Risk Adjustment Coder (CRC) from AAPC is preferred. 2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) required. CHRISTUS Health System offers the Risk Adjustment Education Specialist position as a hybrid opportunity requiring 50%+ travel to regional locations.
$31.7 - $42.35 an hourExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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3+ years’ experience in Medicare or Medicaid Risk Adjustment models (CMS-HCC, HHS-HCC, and DxCG risk adjustment methodology. Apply guidance provided for the medical records code abstraction for the following programs, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation) and Medicaid.
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Job Description :The Risk Adjustment Strategic Partner works as a liaison between the provider community and Select Health. This role will coordinate workstreams that include risk adjustment, HEDIS and STAR gap closure, and healthcare utilization.
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In accordance with the policy and procedures of Haverhill Public Schools, the School Adjustment Counselor (SAC) provides a spectrum of therapeutic interventions, social skill instruction and mental health supports to students and families in need.
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The Expert Risk Adjustment Analyst will assist our organization as a subject-matter-expert in Medicare Advantage, Affordable Care Act (ACA), Medicaid, and Accountable Care Organization (ACO) Risk Adjustment by developing requirements for new analytics and data products, creating customer financial calculations and projections, and researching customer questions regarding their risk adjustment performance.
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Title: risk adjustment Company: Bluecross Blueshield Of Wny
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