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📑 Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical c ...

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📑 Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical c ...

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📑 Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical c ...

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📑 Job Description:JOB SUMMARY/PURPOSEDevelops, implements, and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members. Ensures member medical records comply with CMS's Risk Adjustment Data Validation procedures. Responsible for ensuring ri ...

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📑 Job Description:JOB SUMMARY/PURPOSEDevelops, implements, and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members. Ensures member medical records comply with CMS's Risk Adjustment Data Validation procedures. Responsible for ensuring ri ...

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📑 Job Summary:The Director, Quality Risk Adjustment Operations manages the operational execution of insourced and outsourced risk adjustment programs for all products: MA/MMP/DSNP (Hierarchical Condition Category/HCC), Marketplace (Department of Health & Human Services/HHS), Medicaid (CDPS-Rx), and expansion products by developing and implementing op ...

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📑 *Candidate Must Be Based in Nashville, TN or Surrounding AreasThe Coder Program Manager will have organization level responsibilities to lead the risk adjustment program for accountable care populations and MA contracts and facilitate clinical documentation to ensure accurate depiction of the level of clinical services and patient severity through ...

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📑 Status: Non-Exempt (hourly)Report To: Supervisor of Risk Adjustment & QualitySupervises: N/APosition Pay Range: $55,953 – $83,930Position: The value-based coding advisor (also referred to as a risk adjustment and coding advisor) supports coding accuracy, medical record documentation, quality gap closure, and provider education in the Community He ...

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📑 Status: Non-Exempt (hourly)Report To: Supervisor of Risk Adjustment & QualitySupervises:N/APosition Pay Range: $55,953 $83,930Position:The value-based coding advisor (also referred to as a 'risk adjustment and coding advisor') supports coding accuracy, medical record documentation, quality gap closure, and provider education in the Community Healt ...

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📑 *Candidate Must Be Based in Nashville, TN or Surrounding AreasThe Coder Program Manager will have organization level responsibilities to lead the risk adjustment program for accountable care populations and MA contracts and facilitate clinical documentation to ensure accurate depiction of the level of clinical ...

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📑 Status: Non-Exempt (hourly)Report To: Supervisor of Risk Adjustment & QualitySupervises: N/APosition Pay Range: $55,953 – $83,930Position: The value-based coding advisor (also referred to as a risk adjustment and co ...

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📑 Our direct end-client a large healthcare insurance provider is seeking to hire a Senior Professional Coder/ Risk Adjustment Coder for a 6+ months contract role to work 100% remote | W2 contract only.Candidates submitted must be from the following states: PA, NY, NJ, DE, or MDSummary:The Senior Professional Coder provides services to perform code ab ...

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📑 Summary:The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activitie ...

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📑 Our direct end-client a large healthcare insurance provider is seeking to hire a Senior Professional Coder/ Risk Adjustment Coder for a 6+ months contract role to work 100% remote | W2 only. Candidates applying must work remote from any of the following states: PA, NY, NJ, DE, or MDPlease make sure, Risk Adjustment coding experienc ...

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📑 Our direct end-client a large healthcare insurance provider is seeking to hire a Senior Professional Coder/ Risk Adjustment Coder for a 6+ months contract role to work 100% remote | W2 contract only.Candidates submitted must be from the following states: PA, NY, NJ, DE, or MD</ ...

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📑 Summary:The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved wi ...

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📑 Job Description: Summary: The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures.HCC Risk Adjustment Code ...

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📑 Our direct end-client a large healthcare insurance provider is seeking to hire a Senior Professional Coder/ Risk Adjustment Coder for a 6+ months contract role to work 100% remote | W2 only. Candidates applying must work remote from any of the following states: PA, NY, NJ, DE, or MDPlease make sure, Risk Adj ...

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📑 Senior Professional Coder - 100% remote in NJ- NY-PA-MD-DEJob Description: Summary:The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, ...

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📑 Job Description: Summary: The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures.<br ...

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📑 Job Description: Summary: The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be inv ...

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📑 Senior Professional Coder - 100% remote in NJ- NY-PA-MD-DEJob Description: Summary:The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulati ...

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📑 Job Description: Summary: The Senior Professional Coder provides services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders ...

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📑 Opportunities at WellMed,part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as ...

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📑 Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. We are a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, ...

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📑 Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:• Medicaid State of Texas Access Reform (STAR) program for low-income children ...

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📑 Work Location: Work From HomePosition DescriptionAs the Risk Adjustment Oversight Lead, you will be responsible to develop, enhance, communicate and lead UCare's Risk Adjustment Oversight Program. UCare's Oversight Program is accountable to manage all facets of UCare's Risk Adjustment activities as it relates to data submissions to government agenc ...

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📑 At PIH Health, we provide cutting edge compassionate care. We have a talented team who is proud to be making a positive impact on the lives of our patients each and every day. We are growing fast and looking to have enthusiastic Family Medicine Physician to join our team.POSITION SUMMARYFamily Medicine Physicians coordinate a course of treatment fo ...

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📑 Job OverviewThe Senior Credit Officer will review and approve commercial lease transactions within prescribed credit authority for the Healthcare segment.Responsibilities include but are not limited to:Primary:Approve commercial credits within prescribed credit authority (Industrial, and Healthcare markets) to support the Healthcare business segmen ...

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📑 Job OverviewThe Senior Credit Officer will review and approve commercial lease transactions within prescribed credit authority for the Healthcare segment.Responsibilities include but are not limited to:Primary:Approve commercial credits within prescribed credit authority (Industrial, and Healthcare markets) to support the Healthcare business segmen ...

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📑 JOB SUMMARY:The Sr. Data Analyst of Incentive Programs' primary responsibility is the maintenance and enhancement of the database used to gather multiple sources of data and help the incentive programs department monitor the performance of each provider and member for HCC/RAF and quality related incentives. The incumbent will also manage the in ...

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📑 Senior Consultant – Health Insurance/Dental PayorAbout the roleAre you a strong analyst that has deep domain expertise in Health Insurance/Dental Payor from working in this industry who loves to be on the cutting edge, solving problems though innovative technology solutions? Are you passionate abou ...

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📑 Senior Consultant – Health Insurance/Dental PayorAbout the roleAre you a strong analyst that has deep domain expertise in Health Insurance/Dental Payor from working in this industry who loves to be on the cutting edge, solving problems though innovative technology solutions? Are you passionate abou ...

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📑 Senior Consultant – Health Insurance/Dental PayorAbout the roleAre you a strong analyst that has deep domain expertise in Health Insurance/Dental Payor from working in this industry who loves to be on the cutting edge, solving problems though innovative technology solutions? Are you passionate abou ...

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📑 Position: Coding AuditorLocation: Long Beach, CA (This role is a 100% remote position)Shift: 5*8 hours (40 hours GTD) Duration: 13 Weeks Required Skills & Experience:-Minimum of four years’ experience or a combination of healthcare related education and experience in coding and auditing. -Minimum of two years’ of Risk Adjustment (HCC) coding experi ...

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📑 Job DescriptionJob DescriptionSenior Program Manager, Risk Adjustment IntraCare Health Center (DFW Healthcare MSO) operates owned and affiliated Primary Care Clinics in the greater Dallas-Ft. Worth and Phoenix metropolitan areas. Led by an exceptional leadership team, the company has delivered over a decade of strong performance and service excelle ...

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📑 Job DescriptionJob DescriptionSenior Program Manager, Risk Adjustment IntraCare Health Center (DFW Healthcare MSO) operates owned and affiliated Primary Care Clinics in the greater Dallas-Ft. Worth and Phoenix metropolitan areas. Led by an exceptional leadership team, the company has delivered over a decade of strong performance and service excelle ...

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📑 Title: Nurse Practitioner - Advanced Practice ProviderLocation:Salary: $105,000-148,500** Wider range available depending on experience and locationSchedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PMRole Description:The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to a ...

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📑 Position: Coding AuditorLocation: Long Beach, CA (This role is a 100% remote position)Shift: 5*8 hours (40 hours GTD) Duration: 13 Weeks Required Skills & Experience:-Minimum of four years’ experience or a combination of healthcare related education and exper ...

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📑 Description: This position is remote; however, candidates must reside within the Pacific Northwest, Washington, or Oregon.Job Summary:To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED ...

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📑 Title: Primary Care Advanced PractitionerCompany BackgroundFlorence Health is a rapidly growing next-generation Primary Care Provider dedicated to serving the senior population as they navigate the healthcare experience. In collaboration with Renaissance Physician Partners, a highly esteemed physician group in the Houston area, we are united in our ...

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📑 Location: Clackamas, OR (REMOTE in WA or OR)JOB SUMMARY:To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulato ...

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📑 Henry Ford Health System Director, Risk Adjustment and Value Based Payment Troy , Michigan Apply Now The Director of Risk Adjustment & Value Based Payment is an unparalleled opportunity with Henry Ford Health. This pivotal role spearheads strategic endeavors in risk adjustment, program management and value-based payment, ensuring accu ...

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📑 Job Description Description Inpatient/Outpatient Certified Coding Spec. III - Medical Records - Mount Sinai Hospital - FT Days M-F 8AM-4PM The Coding Specialist III is responsible for the review and coding of complex inpatient and/or ambulatory surgery records utilizing ICD-10-CM ...

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📑 Job DescriptionJob DescriptionJOB TITLE: Collection SpecialistREPORTS TO: Revenue Cycle ManagerFLSA STATUS: Non-Exempt JOB SUMMARY: In-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD10 coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 FORM, Super Bill, Electronic Claims Submission and Clearing House Operations ...

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📑 About Our Client:Our client, a leading chronic pain management company based in San Antonio, Texas, is seeking a Senior Medical Billing Specialist to join their dedicated team.Job Description:As the Senior Medical Billing Specialist, you will play a crucial role in overseeing the revenue cycle operations, focusing on collections and customer servic ...

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📑 Atrium Health is seeking a Registered Nurse (RN) Manager, Clinic for a nursing job in Charlotte, North Carolina.Job Description & RequirementsSpecialty: ClinicDiscipline: RNDuration: Ongoing36 hours per weekShift: 12 hoursEmployment Type: StaffOverview Job SummaryThe Advocate Health Condition Management and Documentation team is excite ...

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📑 Medical Claims Specialist Needed! Our client in Glastonbury is looking for an experienced medical claims processor. Schedule is M-F 11:30 a.m. - 8:00 p.m.. This is a temp-perm assignmentPay is $23/hr. Must have medical claim processing experience. Bi-lingual a plus! Contact or call 959-888-6306 What's In It For You? Great work space and cultureOnsi ...

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📑 Position Description:NetSEA Technologies is seeking to fill multiple Senior Contracts Specialist positions to support PEO C3T Tactical Network systems. Qualified candidates may be hired to serve in various departments or roles that align with their expertise and organizational needs. We encourage applicants with diverse backgrounds and experien ...

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📑 The Medical Director of Risk Adjustment is responsible and accountable for the performance of a specific region in terms of RAF score for all product lines that risk adjust and quality scores for all product lines. The Medical Director will be working with internal staff, larger and exclusive PCPs, and CFO to ensure performance of the assigned regi ...

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