- Point32Health (MA)
- …and timely review and validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II ... overall provider documentation and coding. The Risk Adjustment Coding Specialist II will review medical ...of a formal coding certification program required. Certified Professional Coder (CPC-A, CPC, CPC-H, COC, CIC, or CRC) certification… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis ... and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into...at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC… more
- Geisinger (Danville, PA)
- …coding certification is required:CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered Health Information Technician ... and experience. We encourage all qualified individuals to apply. Coder level I - medical billing /... - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American… more
- St. Luke's Health System (Boise, ID)
- …), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it for you** At St. Luke's, ... Idaho or Oregon!** **What You Can Expect:** Under limited supervision, the Coder 2 is responsible for reviewing applicable documentation and assigning appropriate… more
- Banner Health (AZ)
- …years 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… more
- AdventHealth (Altamonte Springs, FL)
- …multiple priorities at once with little supervision. * Possesses knowledge about risk adjustment and hospital publicly reported data. * Possesses knowledge ... better. **Job Location** : **Monday-Friday** **Remote** **The role you'll contribute:** The Coder Analyst IV is a Health Information Professional with a high level… more
- 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 ...Coder on our Coding team at/in Garnet Health Medical Center-Middletown. Responsibilities Accurately codes charts of discharged patients;… more
- 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 ... Supervisor, Manager, Director, and Medical Director to strategically plan and execute Risk Adjustment coding efforts for accuracy and risk mitigation, as… more
- 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) ... ** Risk Adjustment Provider Educator - Houston**...compliance, coding, and inappropriate coding. + Provides second level medical record review of external requests for diagnosis code… more
- Health First (Rockledge, FL)
- …Financial Stewardship by: providing outstanding service by effectively managing and directing the Risk Adjustment department to meet the needs of its internal ... for State and Federal regulatory activities working to promote and ensure Risk Adjustment activities are compliant with all applicable laws, regulations,… more
- 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
- UCLA Health (Los Angeles, CA)
- …with: + A Certified Professional Coder (CPC) certification and a Certified Risk Adjustment Coder (CRC), required + Bachelor's degree (healthcare or ... Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and...associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)… more
- Health First (Rockledge, FL)
- …risk adjustment data by critically analyzing and identifying supplemental risk adjustment diagnoses through medical record review. *PRIMARY ... *POSITION SUMMARY* This role contributes to Health First Health Plans' (HFHP) Risk Adjustment data collection, supporting compliance with regulatory and… more
- Centene Corporation (Tallahassee, FL)
- … record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...physician setting or a Managed Care Organization as a medical coder **2+ years of experience** in… more
- 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 ... you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible...members. This position will have responsibility for review of medical records to identify accurate ICD-10 diagnosis codes, chart… more
- Providence (Beaverton, 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
- Trinity Health (Hartford, CT)
- …regulations, compliance and reimbursement, and the effects of coding in relation to risk adjustment payment models + Conduct chart review audits, identify coding ... optimize provider review of conditions **Minimum Qualifications** + Current active Certified Risk Coder (CRC) certification required + Minimum three years… more
- 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 Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage- Risk Adjustm** **Location: 100% Remote** **Department:** **KS Plan Advantage- Risk… more
- 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) ... Sinai Health Partners team to review and code ambulatory medical records, identify opportunities to improve coding, educate physicians,...following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o… more
- The Cigna Group (Bloomfield, CT)
- …Health Information Technician (RHIT) o Registered Health Information Administrator (RHIA) Certified Risk Adjustment Coder (CRC) certification Individuals who ... **Job Summary:** The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role,… more