• HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis… more
    MedKoder (10/16/24)
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  • Inpatient Coder IV - Remote

    AdventHealth (Altamonte Springs, FL)
    …multiple priorities at once with little supervision. * Possesses knowledge about risk adjustment and hospital publicly reported data. * Possesses knowledge ... while understanding that **together** we are even better. **Job Location** : **Monday-Friday** ** Remote ** **The role you'll contribute:** The Coder Analyst IV is… more
    AdventHealth (08/13/24)
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  • Inpatient Coder - REMOTE

    Garnet Health (Middletown, NY)
    …to obtain optimal coding on each account. Must be able to code based on Risk Adjustment principles in accordance with all ICD-10 guidelines. At Garnet Health, we ... make your career home with us as a Inpatient Coder on our Coding team at/in Garnet Health Medical...computer and code books. Working Conditions: Busy Office / Remote Option Available Physical Requirements: Working Conditions: Environmental Demands… more
    Garnet Health (10/01/24)
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  • Complex Coder Physician Practice General…

    Banner Health (AZ)
    …years of Multi-Specialty - General Medicine (some HCC) Coding** **experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, ... offer our team members many career and lifestyle choices including remote work options. Our **Multi-Specialty, General Medicine,** **Physi** **cian Practice Coding… more
    Banner Health (09/21/24)
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  • 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 advantage ... certification (CPC) through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs profee. Most of the markets are strictly risk adjustment more
    Insight Global (11/01/24)
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  • HCC Risk Adjustment QA Auditor:…

    Providence (OR)
    …best people, we must empower them._** **Providence Health Plan is calling an** HCC Risk Adjustment QA Auditor: Medicare Advantage & ACA **who will:** + Perform ... audits of Hhierarchical Condition category (HCC) coding review for Risk Adjustment staff, contractors, and vendors +...and report issues to Supervisor or Director + Provide coder specific education based on audit findings and trends… more
    Providence (10/31/24)
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  • Risk Adjustment Coding Specialist…

    CDPHP (Albany, NY)
    …or AAPC CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of ... these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and ICD-10 diagnosis… more
    CDPHP (10/31/24)
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  • HFHP Risk Adjustment Operations…

    Health First (Rockledge, FL)
    …o Certified Professional Coder (CPC) or AHIMA coding certification. o Certified Risk Adjustment Coder (CRC) from AAPC. * Work Experience: o ... Provide outstanding service by effectively managing and directing the Risk Adjustment team to meet the needs...may vary from open to confined; on site or remote . * May require travel to various facilities within… more
    Health First (11/07/24)
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  • Risk Adjustment Coding Auditor-…

    The Cigna Group (Bloomfield, CT)
    …Experience with HCC coding (required). + Extensive knowledge of CMS guidance of Risk Adjustment & ICD-10 CM diagnosis guidelines (required). + Extensive ... knowledge of medical terminology, anatomy and physiology (required). + Knowledge of pathophysiology and pharmacology (preferred). + Extensive knowledge of Medicare and HIPAA regulations and guidelines (required). + Excellent written and oral communication… more
    The Cigna Group (11/08/24)
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  • Certified Risk Adjustment Coding…

    Trinity Health (Livonia, MI)
    …Information Administrator thru AHIMA + Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must ... **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan… more
    Trinity Health (10/26/24)
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  • 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)
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  • Risk Adjustment Auditor Educator

    Centene Corporation (Tallahassee, FL)
    …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...setting or a Managed Care Organization as a medical coder **2+ years of experience** in coding with knowledge… more
    Centene Corporation (09/25/24)
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  • Clinical Documentation Specialist I…

    Mount Sinai Health System (New York, NY)
    …one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional Coder (CPC) ... more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional Coder (CPC)… more
    Mount Sinai Health System (10/31/24)
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  • Individual & Family Plans (IFP) Quality and Review…

    The Cigna Group (Bloomfield, CT)
    …Health Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) + Proficiency in all ... day-to-day management and performance of a team of certified Risk Adjustment coding auditors, ensuring delivery of...**required** in one of the following: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P)… more
    The Cigna Group (11/08/24)
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  • HCC Coding Compliance Assistant-KS Plan Advantage-…

    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. ... Coding and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage- Risk Adjustm** **Location: 100% Remote ** **Department:** **KS Plan… more
    Kelsey-Seybold Clinic (11/05/24)
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  • Revenue Cycle Coding Educator (Partial…

    UTMB Health (Mcallen, TX)
    …* Coordinate and present education of providers, practices and coders related to risk adjustment , coding and documentation. * Review and distribute QA reports ... Revenue Cycle Coding Educator (Partial Remote , South Texas) - Revenue Cycle Coding (Rio...for coordination of all aspects of provider, practice, and coder education, including but not limited to scheduling, tracking,… more
    UTMB Health (10/24/24)
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  • Coding Education Specialist - Philadelphia…

    The Cigna Group (Nashville, TN)
    …(at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... must have in order to do the job:** + ** Remote , Work from Home - must be located in...outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge… more
    The Cigna Group (09/20/24)
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  • Regional Manager, Professional Coding THMG

    Trinity Health (Livonia, MI)
    … (CPC) or RHIT Preferred: Certified E&M Coder (CEMC), and/or Certified Risk Adjustment Coder (CRC). Maintains annual CEU requirement. Required: Minimum ... diverse populations. Ability to work remotely from home following Trinity remote work guidelines. **LEADERSHIP COMPETENCIES** **As a Trinity Health Executive, the… more
    Trinity Health (11/02/24)
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  • Cell Therapy Market Access Manager, Northeast

    Bristol Myers Squibb (Albany, NY)
    …experience required, complex, high cost buy and bill therapy experience preferred. Certified Coder or Biller is a plus + Thorough knowledge of reimbursement, coding ... by your state of residence, and 3) a driving risk level deemed acceptable by the Company. The starting...Other perks like tuition reimbursement and a recognition program. \#LI- Remote If you come across a role that intrigues… more
    Bristol Myers Squibb (11/07/24)
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