• HCC Risk Adjustment

    MedKoder (Mandeville, LA)
    …(recent hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and… more
    MedKoder (10/16/24)
    - Save Job - Related Jobs - Block Source
  • Complex Coder Physician Practice General…

    Banner Health (AZ)
    …of Multi-Specialty - General Medicine (some HCC ) Coding** **experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, ... **Physi** **cian Practice Coding Team** is looking for an **experienced** **Medical Coder with General Medicine: Multi-Specialty experience.** This is a skilled team… more
    Banner Health (09/21/24)
    - Save Job - Related Jobs - Block Source
  • Remote HCC Coder (CPC)

    Insight Global (Tampa, FL)
    Job Description Insight Global is hiring 3 HCC / Risk Adjustment Certified Professional Coders to support a backlog for inpatient and outpatient Medicare ... more risk adjustment vs profee. Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the problem list… more
    Insight Global (11/13/24)
    - Save Job - Related Jobs - Block Source
  • HCC Risk Adjustment QA…

    Providence (OR)
    …retain the best people, we must empower them._** **Providence Health Plan is calling an** HCC Risk Adjustment QA Auditor: Medicare Advantage & ACA **who ... + Perform internal coding audits of Hhierarchical Condition category ( HCC ) coding review for Risk Adjustment...and report issues to Supervisor or Director + Provide coder specific education based on audit findings and trends… more
    Providence (10/31/24)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Coder II

    Point32Health (MA)
    …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and ... Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider...Coding Specialist II will lead efforts to evaluate the HCC coding practices and provide analyses and recommendations to… more
    Point32Health (10/09/24)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Coder

    Centene Corporation (Tallahassee, FL)
    …understanding of these guidelines. + Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet productivity and accuracy ... ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete… more
    Centene Corporation (11/15/24)
    - Save Job - Related Jobs - Block Source
  • HCC Coding Compliance Assistant-KS Plan…

    Kelsey-Seybold Clinic (IA)
    …or CPC (Certified Professional Coder ) or CPC-A or CRC (Certified Risk Adjustment Coder ) Preferred: N/A **Special Skills** Required: Analytical. ... and the Official ICD-10-CM Guidelines for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage- Risk Adjustm** **Location: 100%… more
    Kelsey-Seybold Clinic (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Provider Educator…

    The Cigna Group (Houston, TX)
    …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
    The Cigna Group (11/14/24)
    - Save Job - Related Jobs - Block Source
  • Risk Adjustment Education Specialist…

    Carle (Urbana, IL)
    …must be maintained with required continuing education (CEUs). within 1 year or Certified Risk Adjustment Coder (AAPC) Certification must be maintained with ... Risk Adjustment Education Specialist - HYBRID...continuing education (CEUs). within 1 year or Certified Professional Coder (AAPC) Certification must be maintained with required continuing… more
    Carle (09/10/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    … (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered Nurse (RN) ... billing and/or coding, required + Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required + Three or more years… more
    UCLA Health (11/11/24)
    - Save Job - Related Jobs - Block Source
  • HFHP Associate Risk Adjustment

    Health First (Rockledge, FL)
    *POSITION SUMMARY* This role contributes to Health First Health Plans' (HFHP) Risk Adjustment data collection, supporting compliance with regulatory and ... business. This individual will ensure the integrity of HFHP risk adjustment data by critically analyzing and...Licensure: o None required * Certification: o Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS)… more
    Health First (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Outpatient Clinical Documentation Integrity (CDI)…

    Fairview Health Services (St. Paul, MN)
    …setting, including physician encounters and how physician documentation translates into ICD-10-CM and HCC risk adjustment for claims submission to meet ... - Hospital (CPC-H), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), Certified Risk Adjustment Coder (CRC) **Preferred** **Education** +… more
    Fairview Health Services (11/16/24)
    - Save Job - Related Jobs - Block Source
  • Risk Coding Specialist for ACO Medical…

    Trinity Health (Hartford, CT)
    …Type:** Full time **Shift:** Day Shift **Description:** Must have Certified Risk Coder (CRC) certification Local Residency required **Position Purpose** ... reimbursement, and the effects of coding in relation to risk adjustment payment models + Conduct chart...review of conditions **Minimum Qualifications** + Current active Certified Risk Coder (CRC) certification required + Minimum… more
    Trinity Health (10/11/24)
    - Save Job - Related Jobs - Block Source
  • Coding Auditor - Finance - Sharp Corporate - Day…

    Sharp HealthCare (San Diego, CA)
    …experience working as a certified coder . + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience with medical billing and with ... American Health Information Management Association (AHIMA) -REQUIRED **Preferred Qualifications** + Certified Risk Adjustment Coder (CRC) - American Academy… more
    Sharp HealthCare (11/10/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Documentation Specialist I

    Mount Sinai Health System (New York, NY)
    …Must have a minimum of 3 years coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in a healthcare ... following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) +...CPT, and HCPCS + Familiarity and understanding of CMS HCC Risk Adjustment coding and… more
    Mount Sinai Health System (11/06/24)
    - Save Job - Related Jobs - Block Source
  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Category ( HCC ) Quality program was developed by CMS to promote...clinicians, and committees as appropriate. + Reports areas of risk directly to the Coding Integrity Manager/Supervisor. + Maintains… more
    Catholic Health Initiatives (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Onsite Coding Auditor, SAMF Admin CBO - Full Time…

    Trinity Health (Fresno, CA)
    …Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient ... for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper International Classification of Diseases… more
    Trinity Health (10/02/24)
    - Save Job - Related Jobs - Block Source