- The Cigna Group (Bloomfield, CT)
- ** Risk Adjustment Provider Educator ** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office ... operational market. The role will be accountable for assigned provider groups reaching risk adjustment ...act on any assigned audit educational opportunities timely and provide primary care or specialty care provider … more
- CVS Health (Atlanta, GA)
- …to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for leading Risk ... This role will have specific responsibility for Georgia in maintaining and improving risk adjustment accuracy by partnering closely with leadership from our key… more
- CVS Health (Jackson, MS)
- …to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (Medicare) will be responsible for leading Risk ... in Mississippi. This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with leadership from our… more
- Centene Corporation (Columbia, SC)
- …for WellCare contracted providers. + Conduct provider education and training regarding risk adjustment to help to ensure accurate CMS payment and to improve ... medical records coding (HCC Coding) with knowledge of Medicare, Marketplace, and Medicaid risk adjustment is required. Provider education experience is… more
- Centene Corporation (Carson City, NV)
- …for WellCare contracted providers. + Conduct provider education and training regarding risk adjustment to help to ensure accurate CMS payment and to improve ... adjustment (HCC Coding). Required experience- teaching, training or educator /instructor. Provider education experience is preferred. Preferred managed care… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by ... record before provider visits and uses ICD-10 CM coding guidelines and risk adjustment model regulations to identify missed opportunities to address chronic… more
- CVS Health (Columbus, OH)
- …capture. Identifies opportunities to promote quality. Shares best practices in risk adjustment across all sites/regions. Simultaneously manages multiple, complex ... of electronic health records for conflicting, incomplete, or nonspecific provider documentation as it relates to appropriate HCC code...- CPC AAPC or CCA AHIMA certification- 3+ years risk adjustment experience in Medicare advantage or… more
- AdventHealth (Altamonte Springs, FL)
- …(HCC) education including but not limited to clinical documentation integrity, coding, HCC Risk Adjustment Methodology, and provider performance metrics. The ... adjustment methodology gained from HCC documentation, coding, and provider education experience. **The value you'll bring to the...relationship. . Provide direction and guidance to Risk Adjustment Coding Specialist, as well as… more
- Virginia Mason Franciscan Health (Enumclaw, WA)
- …of Virginia Mason Franciscan Health, is currently seeking a PER DIEM Diabetic Educator Dietitian for the Franciscan Primary Care and Specialty Clinic team Associate ... education in the specialty area. Certification as a CDE (Certified Diabetes Educator ) is strongly preferred. **Essential Job Duties:** + Assesses and evaluates… more
- Baystate Health (Springfield, MA)
- …and favorable reimbursement + HCC concepts and determines impact on Population Health Risk Adjustment reimbursement initiatives + Acts as primary resource in HCC ... Springfield, MA. **Position** + Hierarchical Condition Category Registered Nurse Educator **SCHEDULE:** + Monday - Friday + No weekends...to public speaking + Utilize multiple reports related to risk adjustment to determine focus audit or… more
- Hackensack Meridian Health (Edison, NJ)
- …in the following areas and/or disciplines is required in the areas of: a. Risk Adjustment /HCC Coding. b. Physician Coding. + Knowledge of Coding software and ... Cycle Director and Coding Manger, Physician Services Division, the **Coding Quality Educator , PB's** primary responsibility is the coding of all professional charges… more
- UTMB Health (Galveston, TX)
- …* Coordinate and present education of providers, practices and coders related to risk adjustment , coding and documentation. * Review and distribute QA reports ... Revenue Cycle Coding Educator - Revenue Cycle Coding **Galveston, Texas, United...Position is responsible for coordination of all aspects of provider , practice, and coder education, including but not limited… more
- Veterans Affairs, Veterans Health Administration (Omaha, NE)
- …physical activity considering intensive diabetes therapy and appropriate activities Evaluating risk /history of disordered eating and related factors (ie medication ... adjustment , food issues, physical activity) Evaluating behavioral mediators related...team developing nutrition-related services, policies, procedures and/or protocols. They provide consultative services regarding advanced therapies and research in… more
- Highmark Health (Dover, DE)
- …Healthcare-related field **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health ... appropriate ICD 10-CM coding. Serves as a resource and educator regarding provider and office staff medical...**Required** + 5-10 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS,… more
- University of Colorado (Aurora, CO)
- …tubes. Additional procedures include intubation, lumbar puncture, shunt tap and adjustment , bronchoscopy, paracentesis, and drain removal + Performing efficiently in ... accountability for own professional practice + Function as a clinical leader and educator in collaboration with physicians, nurses and others on the healthcare team… more
- State of Minnesota (Willmar, MN)
- …other key stakeholders in the management and/or treatment of mental, behavioral, adjustment and psychosocial disorders; assist in risk assessment and management ... broader treatment plan; participate and help lead patient treatment conferences; provide assistance and consultation in positive behavioral supports to the treatment… more