Current jobs related to Supervisor, Risk Adjustment Coding Operations - Albany - CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC
-
Nurse Practitioner
1 day ago
Albany, New York, United States Advantmed Full timeAbout AdvantmedWe are a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. Our mission is to drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.Our solutions focus on identifying, managing,...
-
Nurse Practitioner
1 week ago
Albany, Oregon, United States Advantmed Full timeAbout the RoleAdvantmed is seeking a highly skilled and compassionate Nurse Practitioner to conduct in-home wellness risk adjustment assessments for Medicare and other populations. The successful candidate will be responsible for assessing the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding,...
-
Nurse Practitioner
2 weeks ago
Albany, New York, United States Advantmed Full time{"h2": "About Advantmed", "p": "Advantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. We drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying,...
-
Nurse Practitioner
3 days ago
Albany, New York, United States Advantmed Full timeAbout AdvantmedAdvantmed is a leading provider of innovative solutions to health plans and providers, driving market-leading performance with integrated technology, service, and program solutions.We focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high-acuity populations.The Building...
-
Nurse Practitioner
5 hours ago
Albany, Oregon, United States Advantmed Full timeAbout AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. Our mission is to drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.Job SummaryWe are seeking a highly skilled...
-
Nurse Practitioner
3 weeks ago
Albany, New York, United States Advantmed Full timeJob OpportunityJob Title: Nurse Practitioner - In-Home Wellness Risk Adjustment SpecialistCompany: AdvantmedLocation: Linn County, OregonJob Type: Full-time/Part-timeJob Description:Job Summary:We are seeking a highly skilled and compassionate Nurse Practitioner to join our team at Advantmed. As an In-Home Wellness Risk Adjustment Specialist, you will be...
-
Nurse Practitioner
1 week ago
Albany, New York, United States Advantmed Full timeAbout AdvantmedAdvantmed is a leading provider of innovative solutions to health plans and providers, driving market-leading performance through integrated technology, service, and program solutions.We focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high-acuity populations to optimize the...
-
Nurse Practitioner
3 weeks ago
Albany, Oregon, United States Advantmed Full timeAbout AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. We drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.Our MissionWe strive to deliver exceptional care and...
-
Nurse Practitioner
2 weeks ago
Albany, Oregon, United States Advantmed Full timeAbout AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. We drive market-leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners.Our MissionWe focus on identifying, managing, and...
-
HVAC Operations Supervisor
4 weeks ago
Albany, New York, United States NY CREATES Full timePosition Overview:NY CREATES is on the lookout for qualified candidates for the role of HVAC Operations Supervisor. The HVAC Operations Supervisor plays a pivotal role in assisting the HVAC Supervisor in overseeing the seamless functionality of facility systems, aligning with the organization's objectives and operational goals.Key Responsibilities:Support...
-
Enterprise Risk Management Supervisor
4 weeks ago
Albany, New York, United States InsideHigherEd Full timePosition Title: Manager, Enterprise Risk ManagementAbout the Organization:InsideHigherEd is a prominent platform dedicated to providing insights and information about higher education. Our team is committed to fostering a culture of excellence and integrity, ensuring that our operations align with our strategic objectives.Role Overview:The Manager of...
-
Nurse Practitioner NP, Part-Time, HRA
3 months ago
Albany, United States Hueman Risk Adjustment Full timeJob DescriptionJob DescriptionHueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Linn County.This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your...
-
Code Compliance Specialist
3 weeks ago
Albany, New York, United States StateJobsNY Full timeJob SummaryThe Code Compliance Specialist 1, SG-18, will be assigned to the Capital Bureau and reports to the Code Compliance Specialist 2, SG-23. This role is responsible for ensuring compliance with the NYS Uniform Fire, Building and Energy Codes.Key ResponsibilitiesReview and inspect building plans and building permit applications for compliance with the...
-
Enterprise Risk Manager
3 weeks ago
Albany, New York, United States InsideHigherEd Full timeJob SummaryThe Enterprise Risk Manager plays a critical role in identifying, assessing, and mitigating risks across the institution. This position is responsible for developing and implementing a comprehensive enterprise risk management framework that enables proactive risk identification and strategic decision-making.Key ResponsibilitiesDesign and Maintain...
-
Code Compliance Specialist 2
3 weeks ago
Albany, New York, United States StateJobsNY Full timeJob SummaryThe Code Compliance Specialist 2 is a first-level supervisor responsible for enforcing building codes and regulations in the State of New York. The successful candidate will have a strong background in code enforcement and will be responsible for supervising a team of Code Compliance Specialists 1, assigning and reviewing work, and establishing...
-
Risk Management Specialist
1 week ago
Albany, New York, United States InsideHigherEd Full timeJob SummaryThe Enterprise Risk Manager plays a critical role in identifying, assessing, and mitigating risks across the institution. This position is responsible for developing and implementing a comprehensive enterprise risk management framework that enables proactive risk identification and strategic decision-making.Key ResponsibilitiesDesigns and...
-
HVAC Assistant Supervisor
2 months ago
Albany, United States NY CREATES Full timeLocation: Albany, NY Category: Facilities Posted On: Tue Jul 30 2024 Job Description: NY CREATES is seeking applicants for HVAC Assistant Supervisor. HVAC Assistant Supervisor assists the HVAC supervisor with managing the efficient operation of facility systems to support the mission and goals of CNSE and the site. This position is responsible for: Assist...
-
HVAC Assistant Supervisor
4 days ago
Albany, New York, United States NY CREATES Full timeJob Title: HVAC Assistant SupervisorNY CREATES is seeking a highly skilled HVAC Assistant Supervisor to join our team. As a key member of our facilities operations team, you will assist the HVAC Supervisor in managing the efficient operation of facility systems to support the mission and goals of CNSE and the site.Key Responsibilities:Assist the HVAC...
-
HVAC Assistant Supervisor
18 hours ago
Albany, New York, United States NY CREATES Full timeJob Title: HVAC Assistant SupervisorNY CREATES is seeking a highly skilled HVAC Assistant Supervisor to join our team. As a key member of our facilities operations team, you will assist the HVAC Supervisor in managing the efficient operation of facility systems to support the mission and goals of CNSE and the site.Key Responsibilities:Assist the HVAC...
-
HVAC Assistant Supervisor
1 week ago
Albany, New York, United States NY CREATES Full timeJob SummaryNY CREATES is seeking a highly skilled HVAC Assistant Supervisor to join our team. As a key member of our facilities operations team, you will be responsible for assisting the HVAC Supervisor in managing the efficient operation of facility systems to support the mission and goals of CNSE and the site.Key ResponsibilitiesAssist the HVAC Supervisor...
Supervisor, Risk Adjustment Coding Operations
4 months ago
Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
- Annual salary range: $75,000 - 95,000
- The Risk Adjustment Coding Supervisor will be responsible for oversight of CDPHP’s Risk Adjustment Coding Specialists. This includes monitoring, tracking and reporting on individual and team coding quality and productivity, addressing quality, productivity and other staff concerns, and developing strategies to enhance efficiency and quality practices. This position will work with the Manager, Risk Adjustment Coding Operations to prioritize coder workflows, communicate risk adjustment coding changes to staff, assist with review of complex coding inquires, and other personnel management tasks. This position will also assist the team in conducting chart review coding as needed.
- QUALIFICATIONS:
- Associate's degree or two (2) years of equivalen experience required.
- CCS (Certified Coding Specialist) or CPC (Certified Coding Professional) credential required.
- Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), or Certified Professional Coder Payer (CPC-P), will be considered with successful completion of CPC or CCS certification within one year of employment.
- CRC (Certified Risk Adjustment Coder) credential preferred.
- Minimum three (3) years in an HMO, Managed Care Organization or in a health care setting is required.
- Minimum two (2) years in a coding supervisory role, or other project management, team lead, or senior level related experience required.
- Knowledge of ICD-9 / ICD-10 diagnosis and procedure codes, CPT codes, Revenue codes, and HCPCS codes is required.
- Strong knowledge of medical terminology, anatomy and physiology, and medical record/chart review experience required.
- Provider office relations and communication experience strongly preferred.
- Hierarchical Condition Category (HCC) knowledge preferred.
- Diagnosis code auditing experience is preferred.
- Experience in claims adjudication, billing and enrollment systems, product or pricing is preferred.
- Experience with Microsoft Office, including Word, Excel, Outlook and PowerPoint is required.
- Demonstrated ability to meet or exceed productivity and quality standards.
- Strong research and policy review and development skills.
- Demonstrated ability to lead, coach, train or supervise staff.
- Demonstrated ability to work collaboratively with multiple partners to positively affect outcomes at the team, organization and member level.
- Must be detail-oriented with strong organizational skills, including the ability to coordinate workflow.
- Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.
- Demonstrated ability to participate in project/initiatives that are code or code auditing related.
- Demonstrated ability to work with and maintain confidential information.
- Excellent verbal and written communication skills.
- Flexibility to adapt to a changing and fast-paced environment.-
- CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.
