- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- … Adjustment & Quality Division at BCBST** is seeking a skilled ** Risk Adjustment Medical Record Coder ** to support our mission of delivering accurate ... hours per week in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder \) certification is a plus\. If not… more
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + ... **Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and assign a… more
- Datavant (Topeka, KS)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to...Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
- Amazon (IL)
- …* 2+ years as a Profee Coder in an office setting inclusive of risk adjustment coder experience required * 1+ year experience in Medicare/Medicare ... Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for...ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10-CM, CPT,… more
- Geisinger (Danville, PA)
- …1 certification required:CPC - Certified Professional Coder AAPC CRC - Certified Risk Adjustment Coder - AAPC RHIT - Registered Health Information ... Technician - AHIMA + Reviews the content of the medical record for hospital and professional inpatient records to...Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American… more
- University of Washington (Seattle, WA)
- …System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/ Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal ... outstanding opportunity for a **Coding Specialist 1 - Edits Coder ** **WORK SCHEDULE** + 100% FTE + Mondays -...is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of… more
- UTMB Health (Galveston, TX)
- …Coder - Apprentice American Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) *One ... Senior Coder - RCO Coding **Galveston, Texas, United States**...of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a… more
- UTMB Health (Galveston, TX)
- …Coder - Apprentice American Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) *One ... Senior Coder - RCO Coding **Galveston, Texas, United States**...of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations is a… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & Medicare ... Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid |...CMS RADV audits, including retrieval and coding of targeted medical records. * Design and implement QA programs to… more
- Ankura (New York, NY)
- …as knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- WMCHealth (Valhalla, NY)
- …a large multispecialty practice setting, including surgical speacialties is required. HCC Risk adjustment Coding esperience is preferred. Education: High school ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30982) Internal Applicant link Job Details: Job Summary: The Coder is responsible for auditing medical records,… more
- Centene Corporation (Jefferson City, MO)
- …the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1 ... oversight. Reviews medical records to assess proper extraction of ...complete diagnosis coding in alignment with HCCs and other risk adjustment models. Identifies and evaluates clinical… more
- Henry Ford Health System (Troy, MI)
- … billing and third-party payer regulations. + Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. + Knowledge of ... GENERAL SUMMARY: As an integral member of the HAP Medical Policy Team, the Project Coordinator will be responsible for research and guidance on coding such as CPT,… more
- Ascension Health (Austin, TX)
- …coding experience, preferably in outpatient or primary care settings. + Experience with risk adjustment programs (Medicare Advantage, ACO, ACA HHS, or Medicaid). ... Health Information Management Association (AHIMA) preferred. + Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders… 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
- Avera (Sioux Falls, SD)
- …where you matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information ... Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with...Adjustment , Manager of Quality, Quality Coordinator - HEDIS, coder (s), claims staff, and primary care & specialty care… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …from AHIMA or AAPC \(CPC, CCS, CRC, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPC within the first year ... with a strong background in medical records coding and quality assurance? Risk Adjustment is looking for a **Supervisor** to lead a dynamic team dedicated to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional ... and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid |...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life insurance *… more
- Wolters Kluwer (Austin, TX)
- …Data | Health Language | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** ** Coder Workbench Solution:** ** Risk Adjustment ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...needs and balance your work and personal life, including ** Medical , Dental, & Vision Plans, 401(k), FSA/HSA, Commuter Benefits,… more
- Datavant (Atlanta, GA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
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