Adjustment jobs in Portland

A healthcare services company is seeking a Medical Records Retrieval Specialist to ensure proper clinical documentation through quality assurance reviews and ICD-9/10 coding. This role involves significant travel (75%) to provider offices. Candidates must have a working knowledge of the healthcare e

A company is looking for a Supervisor, Risk Adjustment. Key Responsibilities Supervise and support a team of risk adjustment coders, ensuring compliance with coding accuracy and guidelines Manage relationships with vendors and delegated partners, ensuring performance meets standards Lead team develo

A company is looking for a Certified Coder (Risk Adjustment) to support medical coding activities remotely. Key Responsibilities Conducts ongoing medical chart reviews and accurately abstracts ICD-10 and CPT codes Documents findings from chart reviews and provides feedback to leadership and provider

A company is looking for a Risk Adjustment Auditor Educator. Key Responsibilities Conduct provider medical record audits and analyze coding patterns to ensure accurate CMS payment Educate and train providers on risk adjustment coding and compliance with CMS guidelines Analyze MRA data to identify pa

A company is looking for a Risk Adjustment Auditor Educator. Key Responsibilities Conduct provider medical record audits and analyze coding patterns to ensure accurate CMS payment Educate and train providers on risk adjustment coding and compliance with CMS guidelines Analyze MRA data to identify pa

A company is looking for a Remote Risk Adjustment Medical Coder. Key Responsibilities: Perform quality coding of medical records and maintain knowledge of coding principles and regulations Ensure accurate coding of services documented in patient charts, achieving 95% accuracy and maintaining product

A company is looking for a Director of Provider Risk Adjustment. Key Responsibilities Oversee client management and ensure high-quality service delivery for health plans and provider clients Manage and mentor a diverse team of coding professionals while ensuring compliance with coding standards Iden

A company is looking for a Risk Adjustment Coder. Key Responsibilities Perform code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes Review medical records for compliance with CMS requirements and identify improvement opportunities in document

Cambia Health Solutions

Job Description Risk Adjustment Coder/Auditor II Work from Oregon, Idaho, Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of Risk Adjustment Auditors is living our

Cambia Health Solutions

Provider Educator Work a Hybrid schedule within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of Provider Educators is living our mis

Kaiser Permanente

Job Summary: The Actuarial Analyst IV Commercial Risk Adjustment will be instrumental in running and understanding how to interpret the results of the various commercial risk adjusting models being employed, as well as represent, discuss Kaiser Permanente's interests when talking to external large g

Cambia Health Solutions

Risk Adjustment Campaign Associate Work a hybrid work schedule within Oregon, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of Risk Adjustment profession

Managerial Consultant Vi, Medicare Risk Adjustment Strategy The managerial consultant vi role reports to the vp of retro chart operations in reporting and analyzing retrospective coding and retrieval programs. The incumbent will be responsible for delivering analytic insights related to kpis and tre

Job Description Risk Adjustment Coder/Auditor II Work from Oregon, Idaho, Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of Risk Adjustment Auditors is living our

Cambia Health Solutions

Provider Educator Work a Hybrid schedule within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of Provider Educators is living our mis

A leading healthcare organization is looking for a Risk Adjustment Campaign Associate to manage projects related to Medicare Advantage and Commercial risk adjustment campaigns. This role requires a Bachelor's degree and at least 2 years of relevant experience. The position offers a hybrid work sched

A leading healthcare solutions provider is seeking a highly skilled Nurse Practitioner to conduct in-home wellness assessments in Marion County, Oregon. The role involves performing health evaluations for Medicare beneficiaries and addressing quality care gaps. Candidates should possess a valid NP l

A leading health care company in Oregon is seeking a Risk Adjustment Campaign Associate to manage Medicare Advantage projects and ensure quality delivery. This role requires a Bachelor's degree and 2+ years of project support experience. Responsibilities include monitoring vendor performance, prepar

Cambia Health Solutions

$59,004 - $96,996 /year

Risk Adjustment Campaign Associate Work a hybrid work schedule within Oregon, Idaho or Utah *Build a career with purpose. Join our** **Cause** **to create a person-focused and economically sustainable health care system.** *Who We Are Looking For:** Every day, Cambia’s dedicated team of Risk Adjustm

Risk Adjustment Auditor I or II *Work a Hybrid schedule within Oregon, Idaho, Utah or Washington** *Build a career with purpose. Join our** **Cause** **to create a person-focused and economically sustainable health care system.** *Who We Are Looking For:** Every day, Cambia’s dedicated team of Risk