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

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Hedis Registered Nurse with Quality Improvement
Care1st Health Plan - 31 reviews - Monterey Park, CA
 Provide support to the Medicare HCC risk adjustment review process and medical record audit.  Experience with Medicare HCC Risks and ICD-10 and CPT codes...
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Medicare Revenue Reconciliation SME
Summitech Consulting - Irvine, CA 92602
$110,000 - $130,000 a year
Our client needs an experienced SME in Medicare Revenue Reconciliation. Minimum of 7 years relevant experience with a minimum of 5 years involving records and...
Physician - Medical Director
Humana, Inc - 2,798 reviews - Los Angeles, CA
As Regional Risk Adjustment Medical Director you will use your clinical and risk adjustment expertise to influence, lead and educate providers on the importance...

Medicare Revenue Reconciliation Consultant (SME)

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
As it relates to Medicare Revenue Reconciliation. Dynamic Healthcare Systems is hiring for the newly created position of Medicare Revenue Reconciliation...

EDI Data Analyst

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
Three or more years of experience in Medicare risk adjustment and ANSI X12, working with Palmetto, CSSC, and CMS....

HCC Coding Specialist

CareNational - Orange, CA
$26 - $32 an hour
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Health Care Analyst III

SCAN Health Plan - 56 reviews - Long Beach, CA 90806
Experience with CMS-HCC based Risk Model, Payment Cycle and Risk Score Calculation required. Works under minimal supervision to support all aspects of Medicare...

HCC Coder (In-Office / In-Field)

CareNational Healthcare Services (CNHS) - Orange, CA 92868
$26.50 - $32.00 an hour
Risk Adjustment Data Validation (RADV):. At least 3-5 years of Medicare Risk Adjustment Data Validation (RADV) and Hierarchical Condition Category (HCC) coding...
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Certified Coding Specialist, Sr. (HCC-Medicare)

CalOptima - 24 reviews - Orange, CA
4+ years of Risk Adjustment coding experience required; Perform risk adjustment data validations using AHA coding guidelines....
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HCC Coder

Healthcare Talent - 4 reviews - Orange, CA
$26 - $33 an hour
Risk Adjustment Coding:. 4+ years of Risk Adjustment coding experience required; Strong knowledge of CMS Risk adjustment guidelines and CMS HCC Coding...
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agilon health - Long Beach, CA
Medicare Advantage, Risk Adjustment, Medi-Cal, Insurance Exchange, and commercial line of business:. DIRECTOR SYSTEMS SUPPORT - ADMINISTRATIVE HEALTHCARE...
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Business Analyst

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
Medicare Advantage risk adjustment and financial reconciliation; Dynamic Healthcare Systems, of Irvine, CA is seeking a Business Analyst ....

Revenue Recognition CNSLT

BBG Management Corporation - 5 reviews - Irvine, CA
Advanced knowledge of risk adjustment techniques; Strong experience in reporting on Medicare risk score calculations, claims/encounter data, CMS data submission...
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NLP/Machine Learning ENgineer
CyberCoders - 26 reviews - Torrance, CA
$120,000 - $175,000 a year
NLP/Machine Learning ENgineer Based in Torrance, we are privately owned healthcare Analytics Technology company, specializing in Medicare Risk Adjustment...
Health & Welfare Director
Medicare / commercial risk adjustment. Healthcare Analytics and its impact on risk adjustment and risk Management;...

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