39 risk adjustment coder jobs found

Allscripts Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Location: REMOTE Job Summary Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs). Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. Essential...

Allscripts Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Location: REMOTE Job Summary Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs). Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. Essential...

Allscripts Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Location: REMOTE Job Summary Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs). Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. Essential...

Allscripts Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Location: REMOTE Job Summary Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs). Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. Essential...

Allscripts Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Location: REMOTE Job Summary Analyzes and translates concurrent, prospective, and retrospective medical and clinical diagnoses, procedures, injuries, and illnesses into Medicare Risk Adjustment (MRA) ICD-10 codes and Hierarchical Condition Categories (HCCs). Completes assignments with an emphasis on completeness, accuracy, and supporting clinical care plans as it pertains to Risk Adjustment Data Validation (RADV) timelines. Essential...

A recent study shows that men apply for a job or promotion when they meet only 60% of the qualifications, but women and other marginalized groups apply only if they meet 100% of them. So, if you think you'd be a great fit, but don’t necessarily meet every single requirement on one of our job openings, please still apply. We’d love to consider your application! At Wayspring, we are committed to furthering our value of Equity & Inclusion throughout our recruiting practices. We seek diversity of background and opinion, as we think these attributes improve the performance of our company and are the right thing to do for our communities. We recognize and remove barriers to success within our company and communities. We seek to build a recruiting process that is inclusive and fosters diversity. Overview Billing Specialist The Billing Specialist is accountable for submitting medical claims to the health plan and working any denials and/or appeals through the process. The role...

ATA Services, Inc. Position Title: Senior Buyer Requisition ID Requisition ID: 1620 Location: Albuquerque, NM, US Job Class: Clerical Post Date: Yesterday Description: ATA Services Inc is currently seeking to hire a Senior Buyer to work in a temporary position with Albuquerque Bernalillo County Water Authority. $23.76 per hour Start Date: ASAP Location: Albuquerque POSITION SUMMARY Perform a variety of professional and technical duties involved in the procurement of materials, supplies, services and equipment for Water Authority operations. MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS Bachelor's degree from an accredited college or university with major course work in Accounting, Finance, Business Administration or a related field, plus three (3) years of contract management or purchasing experience in a central purchasing office. Experience such as described in the job description may substitute for education on a year for year basis....

Compassionate Lead Counselor Needed! The Lead Counselor will provide treatment and casework services to patient as directed by the supervisor in compliance with all applicable laws and regulations and with Recovery Services of New Mexico policies and procedures. Provide timely documentation of patient services based on plan of care. Identify other physical, psychological, social and spiritual needs for assigned patients. Manage related expenditures in a fiscally responsible manner in accordance with the companys budget. Assist the Program Director and Clinical Manager in various administrative responsibilities. Provides training to new Counselors. Responsibilities: Provides leadership for Counselors and input for inductor evaluations of new counseling staff. Assists in orienting new staff to roles, routines, and responsibilities according to policy and procedure by acting as preceptor and resource person, monitoring orientation checklist,...

DIRECTOR OF FINANCE Reports to the General Manager, the position is exempt WHO WE ARE Hotels done differently. At Aparium, we believe in the power of People, Place and Character. We ensure our hotels are a place where individuals are valued and celebrated, elevating our associates’ pride in who they are, where they live and who we serve. Our hotel is a tribute to the neighborhoods and the people of the communities where we operate. Located in the heart of Old Town Alexandria, Hotel Heron will open in the spring of 2024 offering guests the opportunity to see Old Town from a new vantage point. With Washington, DC just minutes away, Hotel Heron acts as a flag in the sand just across the river, beckoning travelers to explore beyond the National Mall and Monuments to discover a city ripe for its new renaissance. Originally opened in 1926 as the George Mason Hotel, this adaptive reuse combines the iconic inn with an adjacent new building that houses a modern event space and elevated...

Job Description I) Job Purpose Tarrant County Law Enforcement Liaison Project is responsible in assisting law enforcement officers in appropriately diverting persons with mental impairments from the criminal justice system into behavioral health treatment services. Staff provide 24-hour assistance to local law enforcement officers, as well as provide training and outreach activities. In addition, this position facilitates and/or conducts needs assessments, eligibility screenings and access to appropriate treatment and other social services for individuals with behavioral health needs. II) Essential Functions A) Assists the Program Director of Law Liaison in effectively and efficiently achieving the goals of the MH Law Liaison Project in collaboration with Local Police Departments. Performance Requirement(s): 1. Provides oversight and assistance to the team in the collection and reporting of relevant demographic and performance data. 2. Presents program reports and other...

Our mission is Better Health. Our passion is helping others. What’s Your Why? • Are you looking for a career opportunity that will help you grow personally and professionally? • Do you have a passion for helping others achieve Better Health? • Are you ready to join a growing team that shares your mission? Why Join Our Team: At Votion, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! We don’t just talk the talk - we believe in it and live by it. Our core value is always to deliver 5-star service. And by doing so, we successfully achieve our mission of Better Health. We support our providers with all the necessary tools and resources they need to deliver the care all patients deserve. Be part of a team that is rebuilding sick care into Better Health Care. We take great care of our team, patients, providers, and affiliates because together, we can achieve: Better Care. Better Outcomes. Better Health....

JOB DESCRIPTION Job Title: MRI Technologist (3 Locations) Reports to: Clinical Director 2021 ______________________________________________________________________ Summary Description: The MRI Technologist operates MRI equipment to make clinical diagnostic images as directed by physicians and performs diagnostic procedures per protocols, ensuring patient/visitor comfort and safety during exam. This position in classified as non-exempt under FLSA. Essential Functions: 1. Reports to work as scheduled and on time per policy with predictable regular attendance. Time away from work is approved and taken in accordance with established policies. 2. Takes all reasonable steps to maintain confidentiality of all information related to patients, medical staff, employees, and as appropriate, other information, ensuring compliance with HIPAA mandates. 3. Demonstrates positive interpersonal communications in dealing with all others. Recognizes and respects differences in the work place....

Job Description Job Purpose The CFS Clinical Supervisor provides intake oversight and reports to the CFS Clinic Director. The Clinical Supervisor provides clinical supervision and consultation to the Qualified Mental Health Professionals (QMHPs) and fully licensed staff throughout the CFS Clinic. May also complete diagnostic assessments or therapy sessions per agency demand. Activities include staff training and monitoring of the provision of treatment to assure that all QMHP services and related documentation meet current Federal, State, and Local requirements. With a high degree of autonomy, this position is responsible for monitoring all QMHP staff credentialing status and manages a schedule that assures that QMHP staff always maintains current credentialing status. The Clinical Supervisor assesses the need for staff training, designs and provides trainings for all QMHP staff. This training is a dynamic and interactive event that provides staff with the guidance, information,...

STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient Clinic. The general duty of the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center (VAMC) in accordance with the terms and conditions of the Veteran Affairs Primary Care Program, and to supervise the Community Based Outpatient Clinic's (CBOC’s) day-to-day delivery of medical care. ESSENTIAL FUNCTIONS: Provide medical care based on primary and preventative care, to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within his/her skills and training. Function as the point of entry into the Veteran’s Administration health care system. Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. Provide leadership to CBOC clinicians. Evaluate the...

This Full-time Opportunity will work 80 hours bi-weekly from 8am - 4:30pm. Benefit Package that includes Medical/Dental/Vision insurance, Life Insurance, Short and Long Term Disability, 403B Retirement Savings Program and Paid Time Off. *** COVID 19 Vaccination or approved exemption is required*** Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. The Physician Billing Representative is responsible for ensuring that patient charges and payments are correct on the patient account, insurance authorization has been obtained, timely submission of the account and timely follow up to achieve payment from third party payer or the patient. S/he demonstrates a high level of accuracy considering the volume and filing requirements of the various...

Essential Duties and Responsibilities include the following: Audit Provider patient charts and analyze for proper documentation. Also, review all other chart documents to identify potential conditions that Provider may not have listed. Subjective – History of chief complaint or current status of symptoms Objective – Results of all examinations Assessment – Current and chronic conditions written as stated on superbill Plan – Explanation of treatment. Review audit findings with Provider and provide any substantiating medical background to the findings. Ensure that Provider performs proper follow-up to provide care for the patient as indicated in the audit findings. Train and mentor Risk Adjustment staff. Accountable for increasing organization's Risk Adjustment metrics in order to place company within the upper quartile of the industry. Experience in chronic condition diagnostic coding, clinical lab results and pharmacy interactions. Serve as the Risk Adjustment lead in interfacing...

POSITION MISSION: Effectively and efficiently investigate, evaluate, and settle Specialty Casualty Claims according to policy provisions in an equitable, fair manner while promoting a high level of customer service on assigned line(s) of business in support of Claims’ mission POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Review applicable coverage forms and endorsements, providing thorough analysis of coverage and document the claim file accordingly. Conduct investigations, damage assessments, cause and origin determinations and claim evaluations. Provide thorough reporting and documentation of all reserves and claim information on a timely basis to allow proper tracking, statistical analysis, and review by claims management. Adjusts claims within delegated...

Join us on a mission that matters. Role Purpose LevelTen Energys mission is to accelerate the energy transition by facilitating frictionless transactions. As the leading provider of renewable transaction infrastructure, we deliver the cloud-based software, centralized supply, automated analytics, and transaction expertise required to power the renewable energy economy. The LevelTen Platform is the worlds largest online hub for renewable energy buyers, sellers, advisors, asset owners and financiers, and delivers the online tools and expertise they need to buy, sell and finance assets quickly. As the Accounting Manager , you will join a team of dedicated professionals to grow and scale the accounting function! You will manage and complete monthly close, prepare financial statements and perform analysis under the direction of the Controller and will ensure integrity of financial statements. You are trusted to deliver what you commit and work great with deadlines. You are...

Clinical Coding Specialist Location: Petaluma, CA Employment Status: Full-Time, Hybrid Salary Range: $29.19/hr. - $34.60/hr. DOE Position Summary: Clinical Coding Specialists are responsible for reviewing patient medical records for Medicare Advantage enrollees, and other groups/populations as assigned, to identify chronic conditions to be prioritized and addressed by healthcare providers. The review process includes working with multiple electronic health records, completing of pre-appointment reviews, completing post-appointment reviews, and reviewing capture of chronic conditions for physician incentives. They must maintain best practices for accurate data collection and adhere to Meritage policies and procedures. Primary Responsibilities: • Complete pre-reviews to inform physicians of any outstanding HCC. • Complete post-review to ensure all codes on the claim are documented in the chart note. • Provide feedback to physicians and remove codes when...

IREX Job Category: Human Resources Requisition Number: REGIO002765 Full-Time Juba, JSSD, 00000, SSD East Africa, GHA GHA USA KEN Who We Are IREX is a global development and education organization. We strive for a more just, prosperous, and inclusive world—where individuals reach their full potential, governments serve their people, and communities thrive. With a projected annual portfolio of more than $100 million and more than 600 staff worldwide, we work with partners in more than 100 countries in four areas essential to progress: cultivating leaders, empowering youth, strengthening institutions, and increasing access to quality education and information. The Regional Human Resources (HR) Manager is responsible for completing a range of HR duties that provide support to members of the IREX global team, balancing the day-to-day needs of team members and consultative support to managers in a timely and accurate manner with a spirit of teamwork and service....