Coding • birmingham al
The Risk Adjustment Specialist ensures all ICD-10 codes are documented for the assignment of valid and accurate HCCs for each record reviewed for submission to the Centers for Medicare & Medicaid S... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
AI labs & Enterprises train foundational models and agents.We provide frontier evaluations and reinforcement learning environments to improve LLM capabilities, as well as contextual evaluations to ... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Department: Revenue Cycle Management.Schedule: Monday through Friday.Benefits for eligible positions only include generous paid time off, paid parental leave, Associate Assistance Program, Tuition ... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
AI labs & Enterprises train foundational models and agents.We provide frontier evaluations and reinforcement learning environments to improve LLM capabilities, as well as contextual evaluations to ... Show more
Talon Hiring Solutions has a client in the greater Birmingham, AL area that is seeking a Junior Software Engineer - QA with hands-on coding experience.This is an excellent opportunity for someone e... Show more
Position Summary **This opportunity is a hybrid role requiring occasional on-site presence and residency in the Birmingham, AL area*** • Location: Hybrid, Remote 90% & On-site 10% • Status: Full Ti... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
Audit and abstract provider and/or vendor medical records to identify ICD codes submitted to CMS.Validate risk-adjustment codes for accuracy, documentation, and compliance with State and Federal re... Show more
Analyze contractual underpayments and resolve daily encounters in Epic work queues.Identify root causes and implement corrective actions.Resolve price and contract discrepancies in Epic work queues... Show more
For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart by delivering innovative software and services that drive clinical, financial, and operational suc... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
AI labs & Enterprises train foundational models and agents.We provide frontier evaluations and reinforcement learning environments to improve LLM capabilities, as well as contextual evaluations to ... Show more
Perform HCC coding for Medicare Advantage, Affordable Care Act, and End Stage Renal Disease projects.Flex between Retro and Prospective coding projects using different MA, ESRD, and ACA HCC models.... Show more
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more
The average salary range is between $ 37,440 and $ 77,500 year , with the average salary hovering around $ 52,500 year .
The average salary range is between $ 40,950 and $ 90,663 year , with the average salary hovering around $ 55,745 year .
Location: Birmingham, Alabama
Job Summary
The Risk Adjustment Specialist ensures all ICD-10 codes are documented for the assignment of valid and accurate HCCs for each record reviewed for submission to the Centers for Medicare & Medicaid Services (CMS). Other responsibilities include working suspect reports to identify unreported diagnosis codes and conducting chart audits on in-house records from other departments. This position will assist the Manager of Risk Adjustment with other projects as needed.
Why VIVA HEALTH?
VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Benefits
Key Responsibilities
Required Qualifications
Preferred Qualifications
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
