CMS HCC RISK ADJUSTMENT jobs in UNITED STATES, United Kingdom

understanding of the purpose of risk adjustment coding and HCC Risk Adjustment Model Categorical Hierarchy and be able... adjustment: its purpose, CMS-HCC coding rules and guidelines, open condition reporting, identifying unreported conditions, proper...

experts for proper risk adjustment coding and CMS data validation. Work in conjunction with other departments, including... Provider Relations, Quality, and the Medical Director, to ensure compliance with CMS risk adjustment guidelines. Analyze MRA...

Overview Concurrent CMS-HCC Risk Adjustment Project GeBBS is currently accepting applications for final HCC Coding... of active HCC coding experience post credential Candidates will be required to pass a risk adjustment coding test Must pass...

Overview Concurrent CMS-HCC Risk Adjustment Project - PRN GeBBS is currently accepting applications for final HCC..., but not required Must have at least 2 years of active HCC coding experience post credential Candidates will be required to pass a risk adjustment coding...

through the AAPC or AHIMA (CRC, CPC, CCS, etc.). Experience: Coding: 2+ years’ experience in medical risk adjustment / HCC... for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility). Code...

Overview CMS-HCC Risk Validation Audit (RADV/IVA) - Up to $27 p/hr - FULL TIME GeBBS Healthcare Solutions... a flexible CMS HCC/Risk Validation Audit role. This is a W2 position for a seasonal project. Other opportunities for continued...

Overview CMS-HCC Risk Validation Audit (RADV/IVA) - Up to $27 p/hr - PART TIME GeBBS Healthcare Solutions... a flexible CMS HCC/Risk Validation Audit role. This is a W2 position for a seasonal project. Other opportunities for continued...

Overview CMS-HCC Validation Project will entail reviewing/capturing/adding/deleting risk adjustment diagnoses based... on documentation in a one year chart review. Join this exciting team working remotely in a flexible CMS HCC/Risk Adjustment role...

meets both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position... to Risk Adjustment Coding guidelines (HCC/DxCG), as well as ICD-10-CM Guidelines and regular coding requirements. 7...

adjustment education programs to support providers and staff to increase knowledge of quality and CMS HCC, HHS and MARA Risk... methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.). The Risk Adjustment Coding Specialist will provide insights...

to all CMS rules, policies, and risk adjustment data validation guidance (RADV) publications, the ICD-10-CM Official Guidelines... Risk Adjustment Program activities. Manages clinical review and audits, manages coding and abstracting the medical records...

of Risk Adjustment and HCC coding. Knowledge of payer contracts and reimbursement. Thorough working knowledge of Federal... for entertainment and experiences to call your own in Columbus. Learn more at ! About the job: The Risk Adjustment Coding Specialist...

Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio... Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations...

, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment... level. Subject matter experts for proper risk adjustment coding and CMS data validation Work in conjunction...

claims risk adjustment coding and recapture of HCCs. Oversees and develops any audits plans for readiness for CMS RADV.... Experience with CMS risk adjustment mechanisms, ability to read and interpret MAO-002, MAO -004, CA247 and 999 files...

coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care... experts for proper risk adjustment coding and CMS data validation Work in conjunction with other departments to include...

Adjustment Payment methodologies and understanding of the CMS HCC, HHS, and Medicaid 2+ years proven track record of advancing... without having to re-enter information. Thank you for your interest in Lumeris. Position: Sr. Principal Risk Adjustment Solutions...