• HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the ... of medical record charts for the appropriate coding compliance + Coder is responsible for...specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing experience a PLUS. ICD-10… more
    MedKoder (10/16/24)
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  • Hierarchical Condition Category ( HCC

    Highmark Health (Columbus, OH)
    …Care Act (ACA), using skills including but not limited to Hierarchical Condition Category ( HCC ) Coding , medical coding , clinical terminology and ... ACA HCC Models; works independently in various coding applications and electronic medical record systems...Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS)… more
    Highmark Health (12/20/24)
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  • Medical Coder / Coding

    Tidelands Health (Myrtle Beach, SC)
    …Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) ... moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations.… more
    Tidelands Health (12/08/24)
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  • Complex Coder Physician Practice General…

    Banner Health (AZ)
    …**Physi** **cian Practice Coding Team** is looking for an **experienced** ** Medical Coder with General Medicine: Multi-Specialty experience.** This is a ... **Bring your years of Multi-Specialty - General Medicine (some HCC ) Coding ** **experience** with Certified Risk Adjustment Coder (CRC) certification in an… more
    Banner Health (12/14/24)
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  • Inpatient Facility Coder Quality Associate

    Banner Health (AZ)
    …and make a life and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+ years ... HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix...progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder more
    Banner Health (12/05/24)
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  • Risk Coder

    Brockton Hospital (West Bridgewater, MA)
    …an advanced level knowledge of medical terminology and working knowledge of ICD-10-CM coding conventions and HCC and risk adjust coding guidelines, be ... Position Summary: Under the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder ,...coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and… more
    Brockton Hospital (12/03/24)
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  • Certified Medical Coder

    Iron Mountain (Royersford, PA)
    … with either AAPC or AHIMA + 1+ year(s) of prior experience in Medical Coding Role, preferably in Risk Adjustment ( HCC ) + Coding Knowledge in ICD-10-CM, ... State and Federal Government as well as Insurance Policies + Complying with Medical Coding guidelines, policies and procedures + Analyze and identify medical more
    Iron Mountain (01/04/25)
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  • Risk Adjustment Coder - Remote Work

    LifePoint Health (Denver, CO)
    …or local law. **Job:** **Please select a valid job field* **Organization:** **Pacific Medical Data Solutions* **Title:** *Risk Adjustment Coder - Remote Work* ... revenue cycle management services provider that has been offering high quality medical billing services since 2004. We offer a rewarding work environment with… more
    LifePoint Health (01/03/25)
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  • Risk Adjustment Coding Specialist

    VNS Health (Manhattan, NY)
    …of quality and production standards required by leadership to ensure continued medical coding accuracy. This requires advanced knowledge, certifications, and ... experience related to coding /auditing of ICD 10 Diagnoses based on ...and production standards required by leadership to ensure continued medical coding accuracy. + Provider Engagement, Audit,… more
    VNS Health (01/01/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category ( HCC ) Quality program ... concepts, practices, policies, procedures, standards, systems and tools applicable to medical records coding ; including documentation requirements and medical more
    Catholic Health Initiatives (12/23/24)
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  • A**Divisional Coding Quality…

    AdventHealth (Altamonte Springs, FL)
    …and Hierarchical Condition Categories ( HCC ) . Expert level knowledge of medical terminology, coding guidelines and methodologies . Understanding of HIPAA ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...HIM field **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** + Certified Coding Specialist + Certified Professional Coder +… more
    AdventHealth (12/13/24)
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  • Health Risk Coding & Education Specialist…

    Henry Ford Health System (Troy, MI)
    …Two (2) years of coding experience in diagnostic and procedural coding required. + Prior experience working with physicians/ medical groups/physician offices ... attitude. + Strong knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. + Knowledge in… more
    Henry Ford Health System (12/11/24)
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  • Auditor- Coding , Quality Assurance

    Ascension Health (Indianapolis, IN)
    …with office and hospital based audits 3-5 years preferred Previous experience with surgical case coding would be a plus Experience with HCC /RAF coding would ... billing, and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit… more
    Ascension Health (12/24/24)
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  • Coding Auditor

    Ascension Health (Kalamazoo, MI)
    …billing, and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit ... **Details** + **Department:** Medical Specialty + **Schedule:** Flexible day shift, Monday...certification required, CRC certification preferred; strong background in ICD-10 coding and HCC knowledge. **Why Join Our… more
    Ascension Health (11/22/24)
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  • Coding Auditor

    Ascension Health (Halethorpe, MD)
    …billing, and sufficiency of supporting documentation. + Audit specified number of records per coder as defined in the system coding audit plan. + Prepare audit ... appropriate. + Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and educational… more
    Ascension Health (12/04/24)
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  • Risk Adjustment Coding Specialist- Full…

    Trinity Health (Columbus, OH)
    …within one year of hire required. + Minimum of two years of experience in medical coding and billing required + Understanding of various medical claims ... maintains accurate database of submission and payment. + Ensures medical documentation and coding compliance with Federal,...ICD versions. + Expanded knowledge of Risk Adjustment and HCC coding . + Knowledge of payer contracts… more
    Trinity Health (12/19/24)
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  • Clinical Documentation Specialist I

    Mount Sinai Health System (New York, NY)
    …and the Mount Sinai Health Partners team to review and code ambulatory medical records, identify opportunities to improve coding , educate physicians, and act ... coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in...one or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder more
    Mount Sinai Health System (01/04/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …documentation and coding , both with Inpatient and Outpatient documentation** + ** HCC coding experience and Risk Adjustment knowledge strongly preferred** + ... all Cigna, CMS, and other entity guidelines, regulations, and rules for accurate medical diagnosis coding and Risk Adjustment program execution. + Maintains all… more
    The Cigna Group (12/31/24)
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  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …years' experience in a role that includes subject matter expertise in HCC coding with Inpatient and outpatient medical records, including ICD 10 CM or ... Certified Professional Coder (CPC) or Certified Inpatient Coder (CIC) required and + Certified Coding ...current coding system and medical record systems for Medicare Advantage Risk Adjustment required… more
    VNS Health (12/03/24)
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  • Revenue Management Educator (Remote Option within…

    Marshfield Clinic (Marshfield, WI)
    …of CPT coding rules, ICD‐9 and ICD‐10 codes, Healthcare Common Procedure Coding System (HCPCS) codes, HCC coding , use of modifiers, documentation ... Procedural Terminology (CPT), and ICD‐9, ICD-10 and Hierarchical Condition Category ( HCC ) coding . **Preferred/Optional:** Bachelor of Science in Nursing.… more
    Marshfield Clinic (12/03/24)
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