- 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
- Point32Health (MA)
- …guidelines in both inpatient and outpatient settings. Priority for the Risk Adjustment Coding Specialist II to compliantly interpret and incorporates ... here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and… 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. ... be validated. + Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth...the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet… more
- St. Luke's Health System (Boise, ID)
- …Professional Coder ), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it ... Idaho or Oregon!** **What You Can Expect:** Under limited supervision, the Coder 2 is responsible for reviewing applicable documentation and assigning appropriate… more
- Insight Global (Tampa, FL)
- Job Description Insight Global is hiring 3 HCC/ Risk Adjustment Certified Professional Coders to support a backlog for inpatient and outpatient Medicare ... certification (CPC) through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs profee. Most of the markets are strictly risk adjustment… 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 ... Risk Adjustment Education Specialist - HYBRID...continuing education (CEUs). within 1 year or Certified Professional Coder (AAPC) Certification must be maintained with required continuing… 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**...and HCC Coding Processes. It will require expertise in ICD-10-CM/ outpatient and CPT coding principles and guidelines. **Core Responsibilities:**… 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
- 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 ... 24040 - KH Patient Financial Services **Job Description:** The Outpatient Clinical Documentation Specialist (CDS) will perform concurrent and retrospective… 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) ... quality and completeness of clinical documentation and coding in outpatient physician practices. They will work closely with physicians,...coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background… more
- Trinity Health (Fresno, CA)
- …and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of ... for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper International Classification of Diseases… more
- Bristol Myers Squibb (Birmingham, AL)
- …+ Medical policy, managed care coverage processes and practice for inpatient and outpatient settings of care + Local coverage determinations + Commercial case rate ... high cost buy and bill therapy experience preferred. Certified Coder or Biller is a plus + Thorough knowledge...of reimbursement, coding and billing across both inpatient and outpatient settings of care + Thorough understanding of P&T… more
- Scripps Health (San Diego, CA)
- …and Hierarchical Condition Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores. . ... Directs instructions and education activities for all Outpatient providers and ancillary staff across the system, in...CCS (Certified Coding Specialist) or AAPC CPC (Certified Professional Coder ) . Knowledge of ICD and/or CPT/HCPCS coding .… more