Medicare Risk Adjustment jobs

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Risk Adjustment Consultant - Medicare, Risk & Analytics- Fas...
Fallon Health - 79 reviews - Worcester, MA
The Risk Adjustment Consultant will be a SME for the respective risk adjustment model(s) and related Encounter Data submission requirements....
Desired Experience: SAS, SQL, Managed Care
Sr Medicare Informatics Manager
Aetna - 3,244 reviews - Hartford, CT 06161
Aetna Medicare is hiring a Senior Medicare Informatics Manager to lead and support our Medicare Sales Reporting and Analytics Team....
Desired Experience: Machine Learning, Microsoft Powerpoint, SAS, SQL
Health Care QM Project Manager
Aetna - 3,244 reviews - Baton Rouge, LA 70801
$70,000 - $80,000 a year
Shares best practices in risk adjustment across all sites/regions. Experience in Medicare risk adjustment, including a minimum of 3+ years recent and related...
Desired Experience: Project Leadership, Microsoft Powerpoint, Medical Coding Certification
Medical Coder - Risk Adjustment
Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment outpatient/inpatient billing systems/processes....
Desired Experience: Microsoft Office, AHIMA

Medicare Risk Adjustment Specialist

Physician Partners - 13 reviews - Tampa, FL 33602 (Downtown area)
OUR CULTURE - 5 STAR SERVICE At Physician Partners, our commitment, our passion and our culture sets us apart from others and is the cornerstone of...
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Medical Coding Educator

Humana Inc. - Jacksonville, FL
The Coding Educator 2 reviews medical records and arranges educational sessions with providers aimed at quality of care and documentation improvements....
Desired Experience: Public Speaking, Microsoft Powerpoint, Microsoft Office, Driver's License, Medical Coding Certification
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Remote Risk Adjustment HCC Coder

Centauri Health Solutions - 9 reviews - Remote
HCC Risk Adjustment:. Including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit),...
Desired Experience: ICD-9
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Healthcare Advocate (Medicare Risk Adjustment/HEDIS & STARS

UnitedHealth Group - 11,729 reviews - San Antonio, TX 78208 (Government Hill Alliance area)
Experience in Risk Adjustment and HEDIS / Stars. Utilizing data analysis, identify and target providers who would benefit from our coding Medicare / Medicaid...
Desired Experience: Microsoft Powerpoint, RN, Medical Coding Certification, Managed Care

Risk Adjustment Principal Specialist

Henry Ford Health System - 1,086 reviews - Detroit, MI
Extensive experience in Risk Adjustment methodologies, Risk Adjustment Factor Score calculation, governmental programs, and HCC coding....

Medicare Risk Adjustment and Coding Consultant

UnitedHealth Group - 11,729 reviews - Buffalo, NY   +2 locations
1+ years of experience in Risk Adjustment and HEDIS/Stars. Utilizes analytics and identifies and target providers for Medicare Risk Adjustment training and...
Desired Experience: EMR Systems, Microsoft Powerpoint, Microsoft Office, CPT-4, Medical Coding Certification, Managed Care, AHIMA

Risk Adjustment Representative 2

Humana - 4,159 reviews - Lakeside, FL   +2 locations
The Risk Adjustment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments....
Desired Experience: Time Management, Microsoft Office, Managed Care

Manager, Risk Adjustment

Humana - 4,159 reviews - Anderson, SC
The Manager, Risk Adjustment works within specific guidelines and procedures; The Manager, Risk Adjustment conducts quality assurance audits of medical records...
Desired Experience: Microsoft Powerpoint, Leadership Experience, Medical Coding Certification, Managed Care

Medicare Risk Adjustment and Coding Consultant - Field

UnitedHealth Group - 11,729 reviews - Saint Augustine, FL 32080   +2 locations
1+ years of experience in Risk Adjustment and HEDIS/Stars. Utilizes analytics and identifies and target providers for Medicare Risk Adjustment training and...
Desired Experience: EMR Systems, Microsoft Powerpoint, Microsoft Office, CPT-4, Medical Coding Certification, Managed Care, AHIMA

Manager, Risk Adjustment

Coordinated Care - 923 reviews - Tacoma, WA
Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned products....
MEDICARE RISK ADJUSTMENT MANAGER
MB Medical Operations - Miami, FL
The Quality Assurance Managerhas in-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD 10 coding based on CMS/HCC categories, CPT...
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Medical Coding Specialist
Prior Medicare Risk Adjustment (HCC coding) experience preferred, but not required. Participate in all Risk Adjustment abstraction training regarding coding...
Desired Experience: AHIMA, ICD-9
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