- The Cigna Group (Houston, TX)
- …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**...** Risk Adjustment Provider Educator - Houston** **Must reside in...This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned… 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 advantage ... and CPT coding/review. Must obtain an active Coding certification ( CPC ) through AAPC or AHIMA, or a CCS. Will...or AHIMA, or a CCS. Will be coding more risk adjustment vs profee. Most of the… more
- Point32Health (MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and ... Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider...of a formal coding certification program required. Certified Professional Coder ( CPC -A, CPC , CPC… more
- MedKoder (Mandeville, LA)
- …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...the achievement of the correlating professional credential (RHIT, CCS, CPC -H etc.); active and in good standing. A … more
- Geisinger (Danville, PA)
- …II, III, IV - minimum one coding certification is required: CPC - Certified Professional Coder CRC - Certified Risk Adjustment Coder RHIT - Registered ... Coder - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Registered… more
- AdventHealth (Altamonte Springs, FL)
- …multiple priorities at once with little supervision. * Possesses knowledge about risk adjustment and hospital publicly reported data. * Possesses knowledge ... Location** : **Monday-Friday** **Remote** **The role you'll contribute:** The Coder Analyst IV is a Health Information Professional with...for this position. **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** * CPC or CPC -P, or CCS or RHIA… 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, ... Oregon!** **What You Can Expect:** Under limited supervision, the Coder 2 is responsible for reviewing applicable documentation and...Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder… 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, ... health care field. Requires at least one of the following: Certified Professional Coder ( CPC ), Certified Coding Specialist (CCS), Certified Coding Specialist -… more
- Health First (Rockledge, FL)
- …o Certified Professional Coder ( CPC ) or AHIMA coding certification. o Certified Risk Adjustment Coder (CRC) from AAPC. * Work Experience: o 4 years ... *POSITION SUMMARY* Provide outstanding service by effectively managing and directing the Risk Adjustment team to meet the needs of its internal customers and the… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* This role contributes to Health First Health Plans' (HFHP) Risk Adjustment data collection, supporting compliance with regulatory and ... business. This individual will ensure the integrity of HFHP risk adjustment data by critically analyzing and...Licensure: o None required * Certification: o Certified Professional Coder ( CPC ) from AAPC or Certified Coding… more
- UCLA Health (Los Angeles, CA)
- …+ A Certified Professional Coder ( CPC ) certification and a Certified Risk Adjustment Coder (CRC), required + Bachelor's degree (healthcare or ... Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor, you will be an expert in risk adjustment coding and… more
- Mount Sinai Health System (New York, NY)
- …in one or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified Professional Coder ( ... of 3 years coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in a healthcare setting, preferred +… more
- CDPHP (Albany, NY)
- …AAPC CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum one (1) year of ... you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible...Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist) or CPC / CPC -A (Certified Coding Professional) required. If CCA… more
- Centene Corporation (Tallahassee, FL)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...setting or a Managed Care Organization as a medical coder **2+ years of experience** in coding with knowledge… more
- Providence (OR)
- …best people, we must empower them._** **Providence Health Plan is calling an** HCC Risk Adjustment QA Auditor: Medicare Advantage & ACA **who will:** + Perform ... audits of Hhierarchical Condition category (HCC) coding review for Risk Adjustment staff, contractors, and vendors +...and report issues to Supervisor or Director + Provide coder specific education based on audit findings and trends… more
- Mount Sinai Health System (New York, NY)
- …in one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional Coder ( ... following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o...Adjustment Coder (CRC) o Certified Professional Coder ( CPC ) Non-Bargaining Unit, E01 - Partner… more
- The Cigna Group (Nashville, TN)
- …least one of the below):** Certified Professional Coder ( CPC ) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... inpatient / outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge and adherence to… more
- Kelsey-Seybold Clinic (IA)
- …CPC (Certified Professional Coder ) or CPC -A or CRC (Certified Risk Adjustment Coder ) Preferred: N/A **Special Skills** Required: Analytical. High ... and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage- Risk Adjustm** **Location: 100% Remote** **Department:** **KS Plan Advantage- Risk… more
- The Cigna Group (Bloomfield, CT)
- …Health Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) + Proficiency in all ... day-to-day management and performance of a team of certified Risk Adjustment coding auditors, ensuring delivery of...**required** in one of the following: + Certified Professional Coder ( CPC ) + Certified Coding Specialist for… 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 ... in chart review preferred. Certified Coding Spec (CCS) or Certified Professional Coder ( CPC )or Reg Health Info Tech (RHIT) or Reg Health Info Admin… more