Risk Adjustment Coding Lead

Responsibilities Assign appropriate ICD-10-CM codes, mapping to risk adjustment models for Medicare Advantage and ACA Commercial Projects. Assign Flag events and CDI for documentation discrepancies. Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines...

Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careers! Physical Sites: Taguig, Cebu, and Pampanga Our Clinicians & Associates advocates for better patient care while enjoying these benefits: Work from Home! Getasmuchas5Kuponcompletion oftherecruitmentprocess HMO on Day 1 with 2 Dependents upon...

Qualifications Must be a graduate of a 4-year course Must have an active Medical Coding Certification (CRC/CPC/CIC/CCS/COC) With at least 18 months of HCC/Risk Adjustment Experience With experience in any EMR systems such as Epic, Cerner & Meditech Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our...

We are seeking an experienced AI-Risk Coding Associate (Medical Coder) to join our growing healthcare technology team. In this role, you will be responsible for accurately assigning medical diagnosis codes and ensuring compliance with CMS-HCC guidelines using advanced AI-assisted coding tools. Key Responsibilities: Assign accurate diagnosis codes following...

At Globe, our goal is to create a wonderful world for our people, business, and nation. By uniting people of passion who believe they can make a difference, we are confident that we can achieve this goal.Job DescriptionThe Risk Management and Compliance Lead plays a crucial role in ensuring our organization's adherence to environmental, energy, occupational...

Rick Adjustment/HCC Coders - Certified Coders Conifer Global Business Center Inc. is hiring outpatient medical coders who are ready to advance their careers by training in inpatient medical coding through our Coding University. What's in it for you? We have a team of highly experienced and skilled professionals to help and provide you with comprehensive...

Join to apply for the Support and Leadership RolesApply role at Shearwater CPO - Home of Clinicians . Your virtual pre-screening interview will only take 10 minutes, click PROCEED to get started. Overview Career opportunities in support and leadership roles at Shearwater CPO include QA Specialist, Training Specialist, and Team Lead. Roles require clinical...

RESPONSIBILITIES Design, develop, implement, and maintain simplified information security risk assessment approach and framework that enable effective oversight and regular reporting including a consistent way to identify and assess risks and communicate them with relevant stakeholders. Conduct enterprise-wide information security assessment exercises with...

Job Summary The Quantitative Risk Officer supports the Chief Sustainability Officer in tasks requiring quantitative skills and/or involving finance theory issues. These tasks are focused on model performance assessments, stress testing, and quantitative regulatory requirements that help ensure sound risk management monitoring and compliance with capital...

 Regional Code Compliance Expert APAC      YOUR TASKS AND RESPONSIBILITIESProvide support to the Pharma Business and LPC Country Teams across the Region on general, recurring questions in the area of Code Compliance, Industry Code Applicability, Interaction with HealthCare Professionals, HealthCare Organizations and PatientOrganizations, including...