• Risk Adjustment Coding

    AdventHealth (Altamonte Springs, FL)
    ** Risk Adjustment Coding Specialist -** **AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from ... 8am - 5pm **Location:** Virtual **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective and… more
    AdventHealth (03/18/25)
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  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …and Certifications: + Certified Professional Coder (CPC) or (CRC) Certified Risk Adjustment Coder or Certified Coding Specialist (CCS) required + ... identifying opportunities to support precise clinical documentation. Collaborating with the Risk Adjustment and Quality teams, you'll help shape educational… more
    VNS Health (03/04/25)
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  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable… more
    UCLA Health (02/19/25)
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  • PAR - Medical Coding Compliance…

    Medical Mutual of Ohio (Toledo, OH)
    …(Registered Health Information Technician) and/or + CCS/CCS-P (Certified Coding Specialist /Physician-based + CRC (Certified Risk Adjustment Coder) or ... **Job Summary:** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with… more
    Medical Mutual of Ohio (03/04/25)
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  • Risk Adjustment Medical Record…

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    The Risk Adjustment Medical Record Retrieval team at BCBST is seeing a Medical Record Retrieval Specialist to join our team\. In this role, you will be ... on a regular basis\. **Job Responsibilities** + Load medical records into BCBST coding system and link records to appropriate chart IDs\. + Download medical records… more
    BlueCross BlueShield of Tennessee (03/14/25)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Columbus, OH)
    …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… more
    Highmark Health (03/04/25)
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  • Director, Risk Adjustment

    Banner Health (AZ)
    …and managing all aspects of coding operations, including prospective and concurrent risk adjustment coding , for Banner Plans and Network. This role ... with organizational goals. This position has administrative leadership responsibility for the Risk Adjustment Coding strategic and daily operations across… more
    Banner Health (03/19/25)
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  • Coding Specialist

    VNS Health (Manhattan, NY)
    …Coder (CPC) or Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required. required + Active Certified ... related issues; makes coding and documentation recommendations for adherence to risk adjustment models. + Reviews medical documentation to ensure all key… more
    VNS Health (02/11/25)
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  • Provider Coding Documentation…

    Novant Health (NC)
    …generic and department-specific skills validation and competence testing. + Completion of Risk Adjustment Coding Certification (CRC) and Certified ... Licensure/Certification: + CPC (Certified Professional Coder), required. + CRC (Certified Risk Adjustment Coder), required. + CDEO (Certified Documentation… more
    Novant Health (02/13/25)
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  • Billing and Coding Specialist

    University of Colorado (Aurora, CO)
    …and/or facility fee setting. + Experience with outpatient (HOPD, freestanding) and inpatient coding , risk adjustment auditing. + Experience building and ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Family Medicine** **Job… more
    University of Colorado (01/30/25)
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  • Associate, Risk Adjustment Coder

    MVP Health Care (Rochester, NY)
    …(Physician) or CCS-P - Certified Coding Specialist (Physician), and CRC-Certified Risk Adjustment Coding Credential required. + Minimum of 1 year ... Actively participates in and supports the Risk Adjustment team-based environment to educate providers on coding...coding compliance and consistency. + Works with the Coding Leader of Risk Adjustment more
    MVP Health Care (03/04/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Columbus, OH)
    …accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines of business subject to ... risk adjustment . **Salary Range:** The pay range...EXPERIENCE - 2 Years of Experience **CERTIFICATION/LICENSE/REGISTRATION** + Cert Coding Specialist (CCS), Cert Coding more
    Baylor Scott & White Health (03/13/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    coding medical professional services experience including ambulatory outpatient and risk adjustment coding . (Required) . Additional experience could ... Medicine Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care… more
    Penn Medicine (02/19/25)
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  • Coding Auditor

    CVS Health (Austin, TX)
    …knowledge of coding , compliance and reimbursement procedures related to Medicare risk adjustment + Makes recommendations for coding policy/changes + ... Coding Manager, this position is responsible for ICD-10 coding of health risk evaluations of Medicare...Certified Coding Associate ( CCA ), Certified Coding Specialist ( CCS), Certified Coding more
    CVS Health (03/18/25)
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  • Documentation & Coding Consultant

    Virginia Mason Franciscan Health (Seattle, WA)
    …payer and 3 years experience as an instructor/trainer. + Clinical knowledge and exposure to risk adjustment coding .. **Pay Range** $32.56 - $48.23 /hour We ... Plans, writes, develops and conducts on-going training regarding professional services and risk adjustment revenue and reimbursement. + Interprets changes in the… more
    Virginia Mason Franciscan Health (02/21/25)
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  • 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 ... Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist more
    Catholic Health Initiatives (03/06/25)
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  • Diagnosis Related Group Auditor-Inpatient…

    Hackensack Meridian Health (Hackensack, NJ)
    …+ Reviews CDI quality liaison recommendations as it relates to mortality, PSI/HAC, POA and risk adjustment codes and makes changes as needed in compliance with ... + Auditing experience. **Licenses and Certifications Required:** + Certified Coding Specialist . **Licenses and Certifications Preferred:** + Registered… more
    Hackensack Meridian Health (02/01/25)
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  • Outpatient Clinical Documentation Integrity (CDI)…

    Fairview Health Services (St. Paul, MN)
    …provider documentation for clinical conditions and procedures to reflect severity of illness, risk adjustment , accurate coding , accuracy of patient outcomes, ... a combination of 1-2 years coding experience and HCC Capture, Risk Adjustment or Outpatient CDI experience. + Demonstrated extensive critical-thinking… more
    Fairview Health Services (01/31/25)
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  • Coding Provider Educator Professional Fee

    CommonSpirit Health Mountain Region (Centennial, CO)
    …care teams across medical offices to promote accurate clinical documentation and risk adjustment opportunities identified during chart reviews or analytics. ... or RHIA Source: AHIMA Certified Professional Coder (CPC Certification) CCS (Certified Coding Specialist )CCS-P (Certified Coding Specialists - Physician… more
    CommonSpirit Health Mountain Region (03/04/25)
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  • CDI Specialist - Managed Care Exp preferred

    Fallon Health (Worcester, MA)
    …of any of the following Certified Coding Specialist (CCS), Certified Risk Adjustment Coding (CRC) or Certified Professional Coder (CPC) required. ... updates * Develop and coordinate education and training that focuses on Risk Adjustment coding and documentation opportunities utilizing a variety of methods… more
    Fallon Health (12/26/24)
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