Medicare Risk Adjustment $50,000 jobs in Costa Mesa, CA

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Sr. Client Delivery Manager (Project Manager)
CyberCoders - 16 reviews - Gardena, CA
$140,000 a year
Payer and risk adjustment background extremely beneficial!- Bachelors degree required (MBA a plus)- Excellent client facing skills and ability to multitask-...
Physician / Family Practice / California / Physician / Famil...
Spot On Recruiting, Inc. - California
$5,000 a month
Medicare, Champus, private insurance, Medi-Cal; After becoming a shareholder a physician then goes at risk and participates in the compensation formula, which...
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Performance & Compliance Audit Manager

Prospect Medical Systems - Orange, CA 92868
HCC methodology OR equitable Risk Adjustment methodology:. Direct experience/knowledge of HCC methodology OR equitable Risk Adjustment methodology....
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HCC Coding Auditor (This is not a remote position)

Prospect Medical Systems - Orange, CA 92868
CMS HCC Risk Adjustment methodology:. Working knowledge of CMS HCC Risk Adjustment methodology. Healthcare setting preferably related to HCC Risk Adjustment and...
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Claims - Executive Specialist, Workers Compensation Claims

Crum & Forster Insurance Co - Orange, CA
Completes mandatory Reserve Adjustment Worksheet (RAW) forms. Will abide by departmental policies and procedures, including authority levels, to comply with C&F...

Business Analyst

Dynamic Healthcare Systems - 2 reviews - Irvine, CA 92612
Medicare Advantage risk adjustment and financial reconciliation; Dynamic Healthcare Systems, of Irvine, CA is seeking a Business Analyst ....

Regional Manager Needed

Argus Medical Management, LLC - Long Beach, CA 90804
Maximize Medicare Risk Adjustment revenue. Risk Management / Compliance:. Recommend and conduct annual evaluations and salary adjustments for office staff with...
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HCC Risk Adjustment Coder - Fluent in Vietnamese

Physicians DataTrust - Cerritos, CA 90703
Working knowledge of Medicare Risk Adjustment. We have an excellent opportunity for a part-time/ full-time risk Adjustment Coder to join our team....
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Claims Examiner

HealthCare Talent - 3 reviews - Orange, CA
$23 - $27 an hour
Claims Administration Job Summary In the absence of the Supervisor, the Lead oversees the claims processing activities of Examiners, Senior Examiners and...
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Revenue Reconciliation Consultant (SME)

Dynamic Healthcare Systems - 2 reviews - Irvine, CA 92612
A minimum of seven (7) years relevant work experience with a minimum of five (5) years of experience involving records and information management, preferably in...

Financial Consultant (Healthcare)

Anthem, Inc. - 1,711 reviews - Cerritos, CA
Strong grasp of Medicare revenue, including HCC risk adjustment, risk adjusted bid rate, rebate and cycles of interim vs. final score/payment....

Manager Clinical Services

MemorialCare Foundation - Fountain Valley, CA
Knowledge of CMS (Centers for Medicare and Medicaid Services) coverage policies required. Ensure daily coverage of all work areas of responsibility make...

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