Top 1132 Risk adjustment Jobs in Washington, Dc

Certified Risk Adjustment Coder (CRC), Senior Associate
Ankura —Washington, DC
- $85,000 - $200,000 a year
- Online Application
- Hybrid work
- Anatomy knowledge
- Word processing
- Team management
Lead Actuarial Analyst, MA Risk Adjustment
Strive Health —Washington, DC
- $99,000 - $124,000 a year
- Email
- Hybrid work
- SQL
- Bachelor's degree
- In-person
- Paid holidays
- Disability insurance
Quick Apply
Healthcare Medicaid Risk Adjustment Analytics, Senior Manager Remote
CVS Health —Washington, DC
- $67,900 - $199,144 a year
- Full-time
- Remote
- Management
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
Sr. Director, Risk Adjustment (0778)
CINQCARE —Washington, DC
- $146,744 - $183,435 a year
- Full-time
- Hybrid work
- Doctoral degree
- Office
- Master's degree
- Mileage reimbursement
- Commuter assistance
Quick Apply
Supervisor/Engineer-Operations & Maintenance
Crystal Mover Services, Inc. —Dulles, VA
- $80,000 - $95,000 a year
- Full-time
- English
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
8d
ERAS Business Operations Manager
Association of American Medical Colleges —Washington, DC
- $115,855 - $136,300 a year
- Full-time
- Administrative experience
- Bachelor's degree
- Children
- Paid parental leave
- Paid holidays
Project Manager
TYL Restoration & Remodeling Inc. —Woodbridge, VA
- $25 - $30 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
18h
Data Center Category Manager, AWS Data Center Sourcing & Procurement
Amazon Data Services, Inc. —Arlington, VA
- $79,500 - $139,100 a year
- Full-time
- Computer science
- 5 years
- Product management
- AD&D insurance
- Health insurance
General Superintendent
Flatiron Construction Corp —Alexandria, VA
- $185,000 - $200,000 a year
- Full-time
- Construction site
- Heavy equipment operation
- Driver's License
- Health insurance
- Dental insurance
Sr. Schedule Controls Manager, AMER Construction Programs
Amazon Data Services, Inc. —Herndon, VA
- $139,300 - $208,000 a year
- Full-time
- Analysis skills
- Travel
- Senior level
- AD&D insurance
- Health insurance
Sr. Schedule Controls Manager, AMER Construction Programs
Amazon Data Services, Inc. —Herndon, VA
- $139,300 - $208,000 a year
- Full-time
- Analysis skills
- Travel
- Senior level
- AD&D insurance
- Health insurance
Data Center Procurement Manager, Data Center Sourcing & Procurement
Amazon Data Services, Inc. —Herndon, VA
- $79,500 - $139,100 a year
- Full-time
- Computer science
- 5 years
- Analysis skills
- AD&D insurance
- Health insurance
Water Strategy Manager, AWS AMER Water Team - East Region
Amazon Web Services, Inc. —Arlington, VA
- $92,400 - $160,000 a year
- Full-time
- Bachelor of Science
- Engineering
- 8 years
- AD&D insurance
- Health insurance
Sr. Energy Strategy Manager, AWS Energy Team
Amazon Data Services, Inc. —Arlington, VA
- Full-time
- 3 years
- Senior level
- Commercial
6d
Vice President of Compliance (Affordable Housing/Multi-Family Property Management)
The Phoenix Staffing, LLC —Gaithersburg, MD
- $110,000 - $140,000 a year
- Full-time
- Microsoft Outlook
- English
- 3 years
- Relocation assistance
Quick Apply
Case Manager Immigration Bilingual Spanish
The GEO Group —Manassas, VA
- $24.31 an hour
- Full-time
- Spanish
- Customer service
- 5 years
- Paid training
- Health savings account
Internal Controls Support
CGI Group, Inc. —Washington, DC
- $58,000 - $136,200 a year
- Microsoft Excel
- Customer service
- Writing skills
- Paid parental leave
- Paid holidays
Senior Transportation Manager
Food Authority, INC —Jessup, MD
- $120,000 - $130,000 a year
- Full-time
- Senior level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Lighting & Irrigation Technician
Rossen Landscape Contracting LLC —Sterling, VA
- $60,000 - $80,000 a year
- Overtime
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
14d
Project Scheduler - U.S. Citizenship Required
CGI Group, Inc. —Fairfax, VA
- $89,600 - $194,000 a year
- Hybrid work
- Background check
- 5 years
- Mid-level
- Paid parental leave
- Paid holidays

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Certified Risk Adjustment Coder (CRC), Senior Associate

Ankura -
Washington, DC

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Job Details

Full-time
$85,000 - $200,000 a year

Qualifications

Anatomy knowledge
Medical claims processing
Medicare
Medical law
Presentation software
Word processing
Medicare regulations
Presentation preparation
Managing projects
Certified Risk Coder (CRC)
Research findings presentation
Medical terminology
Medical record review for billing accuracy

Full Job Description

Ankura is a team of excellence founded on innovation and growth.

Practice Overview:

Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest and most prominent US health care providers, payers, and law firms.

Role Overview:

Our Sr. Associates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others.

Responsibilities:

Review, analyze, and code diagnoses based on information in a patient's medical record according to specific guidelines for each project.
Evaluate compliance with established ICD-10 CM, third party reimbursement policies, regulations and accreditation guidelines.
Communicate effectively with internal and external stakeholders according to project requirements
Works with Project Managers to understand client needs and develop project work plans accordingly
Understands Healthcare Compliance concepts, issues, and how to research and access regulatory guidelines and reference materials
Drafts clear and concise analyses of medical record review and coding findings
Ensures successful completion of project deliverables as assigned and within the desired timeframe
Works collaboratively with Ankura team members focusing on building and maintaining internal and external client and counsel relationships
Identifies opportunities for cross practice collaboration
Proven writing and presentation skills and has a keen sense of attention to detail
Communicates findings of concern with the team and Project Manager as they are identified
Can independently deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas.

Qualifications:

Certified in Risk Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology
Associate’s or Bachelor’s degree preferred, but not required
Strong understanding of clinical terminology, disease processes, anatomy and pharmacology.
Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D requirements.
Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills.
Prior success in managing small projects and teams and able to Ability to be able work on multiple client projects simultaneously, if needed.
Ability to work in a fast-paced environment while maintaining high quality
Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings
Understands the importance of attorney-client privileged and confidential communication
Willingness to travel when needed
Willingness to perform a variety of skill based tasks related to risk adjustment work
Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

For individuals assigned and/or hired to work in California, Colorado, or New York, Ankura is required to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the said markets and considers a broad range of factors including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. The range does not include additional benefits outside of salary. At Ankura, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each role. A reasonable estimate of the current base pay range is between $85,000 to $200,000; this range is not a promise of a particular wage.

#LI-Hybrid

#LI-EN1

Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Equal Employment Opportunity Posters, if you have a disability and believe you need a reasonable accommodation to search for a job opening, submit an online application, or participate in an interview/assessment, please email [email protected] or call toll-free +1.312-583-2122. This email and phone number are created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues unrelated to a disability, will not receive a response.

Apply Now

Refine Your Search

risk adjustment jobs in washington, dc

Certified Risk Adjustment Coder (CRC), Senior Associate

Lead Actuarial Analyst, MA Risk Adjustment

Healthcare Medicaid Risk Adjustment Analytics, Senior Manager Remote

Sr. Director, Risk Adjustment (0778)

Supervisor/Engineer-Operations & Maintenance

ERAS Business Operations Manager

Project Manager

Data Center Category Manager, AWS Data Center Sourcing & Procurement

General Superintendent

Sr. Schedule Controls Manager, AMER Construction Programs

Sr. Schedule Controls Manager, AMER Construction Programs

Data Center Procurement Manager, Data Center Sourcing & Procurement

Water Strategy Manager, AWS AMER Water Team - East Region

Sr. Energy Strategy Manager, AWS Energy Team

Vice President of Compliance (Affordable Housing/Multi-Family Property Management)

Case Manager Immigration Bilingual Spanish

Internal Controls Support

Senior Transportation Manager

Lighting & Irrigation Technician

Project Scheduler - U.S. Citizenship Required

I want to receive the latest job alert for risk adjustment in washington, dc

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