- 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
- Centene Corporation (Tallahassee, FL)
- …Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. ... experience required **Position Purpose:** Coders will work daily reviewing medical records abstracting any HCCs that are able to...the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet… 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
- 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
- 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
- UCLA Health (Los Angeles, CA)
- … (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered Nurse (RN) ... As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert...associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)… 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
- Premera Blue Cross (Mountlake Terrace, WA)
- …Premera Medical Directors and Provider Network Executives, the **Quality and Risk Adjustment - Provider Clinical Consultant (PCC)** works directly with ... for documentation and coding best practices for HEDIS and risk adjustment . This role will have a...Coding Quality Educators to identify opportunities to review providers' medical records to better understand knowledge and performance gaps… more
- Trinity Health (Hartford, CT)
- …Type:** Full time **Shift:** Day Shift **Description:** Must have Certified Risk Coder (CRC) certification Local Residency required **Position Purpose** ... reimbursement, and the effects of coding in relation to risk adjustment payment models + Conduct chart...review of conditions **Minimum Qualifications** + Current active Certified Risk Coder (CRC) certification required + Minimum… 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
- Fairview Health Services (St. Paul, MN)
- … - Hospital (CPC-H), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), Certified Risk Adjustment Coder (CRC) **Preferred** **Education** + ... - Hospital (CPC-H), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), Certified Risk Adjustment Coder (CRC) **Additional Requirements:** +… more
- Sharp HealthCare (San Diego, CA)
- …American Health Information Management Association (AHIMA) -REQUIRED **Preferred Qualifications** + Certified Risk Adjustment Coder (CRC) - American Academy ... Years experience working as a HCC risk adjustment coding auditor. + Experience with medical ...+ Experience with medical billing and with medical terminology. + Certified Professional Coder (CPC)… more
- Mount Sinai Health System (New York, NY)
- …one or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified Professional Coder (CPC) ... Sinai Health Partners team to review and code ambulatory medical records, identify opportunities to improve coding, educate physicians,...coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background… more
- Health First (Rockledge, FL)
- …ratings. * Ensure financial impact to organization as well as data submitted for Risk adjustment and HEDIS measures is complete, accurate and thorough to ... risk of regulatory agency audits. * Gain a thorough understanding of the Risk Adjustment payment methodology, submission requirements and their impact to the… more
- Trinity Health (Fresno, CA)
- …HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural ... Type:** Full time **Shift:** Day Shift **Description:** Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is responsible… more
- Kaleida Health (Buffalo, NY)
- …ensure that clinical information is captured to support the level of service rendered, risk adjustment of the patient population, and the appropriate data and ... retrospective compliance reviews of the coding and documentation of diagnoses, medical procedures, and patient encounters by Kaleida Health clinical services… more
- Geisinger (Harrisburg, PA)
- …Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional ... prefer candidates with RHIA (Registered Health Information Administrator) credentials and certified coder credentials. Join us in making a significant impact on our… more
- Hawaii Pacific Health (Honolulu, HI)
- …Health Information Administrator, Accredited Health Information Technician certification, Certified Professional Coder - Risk Adjustment (CRC) or Certified ... a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the… more
- Catholic Health Initiatives (Chattanooga, TN)
- …the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category ... American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA)… more
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