- CenterWell (Tallahassee, FL)
- …as a certified medical coder + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + Standard working hours ... a part of our caring community and help us put health first** The Medical Coder extracts clinical information from a variety of medical records and assigns… 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 (Nashville, TN)
- …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
- Apex Health Solutions (Houston, TX)
- …of the following is required : Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist (CCS) Registered ... Summary Certified Medical Coder role is responsible for...proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS… 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)
- …- Certified Professional Coder - Apprentice (AAPC) _or_ + CRC - Certified Risk Adjustment Coder (AAPC) **JOB SUMMARY:** Properly codes and/or audits ... Senior Coder - RCO Coding **Galveston, Texas, United States**...of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. **REQUIRED LICENSES,… more
- St. Luke's Health System (Boise, ID)
- … Coder ), CPC (Certified Professional Coder ), CPC-H, CRC (Certified Risk Adjustment Coder ), RHIA (Registered Health Information Administrator), or ... work. **What You Can Expect:** Under general supervision, the Outpatient Coder is responsible for reviewing applicable documentation and assigning appropriate… 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
- 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
- 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
- Trinity Health (Albany, NY)
- …and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote… 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
- 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
- CenterWell (Tallahassee, FL)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...the GenAI ( CODER ) tool to improve the medical coder experience. + Oversees coding operations… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- Humana (Fort Lauderdale, FL)
- …AAPC CPC (Certified Professional Coder ) Certification + 4 or more years of medical coding experience + Risk Adjustment knowledge + Proficiency with data ... sets **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
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