- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC...year if hired. + Two-years of experience in a risk adjustment coding environment required.… more
- The Cigna Group (Houston, TX)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred. + Prior experience with delivery of… more
- UCLA Health (Los Angeles, CA)
- …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered… more
- Centene Corporation (Phoenix, AZ)
- …70-100 providers. + Develop collaborative relationships with providers to educate and improve Risk Adjustment coding and documentation competencies. + Use ... home. Candidate must live in Arizona. **Position Purpose:** Utilize risk adjustment methodologies, principles, and knowledge of...coding and claims knowledge to support improvement of coding and medical record documentation of risk … more
- Trinity Health (Hartford, CT)
- …certification Local Residency required **Position Purpose** The Clinically Integrated Network (CIN) Risk Coding Specialist is responsible for reviewing ... guidelines, payor regulations, compliance and reimbursement, and the effects of coding in relation to risk adjustment payment models + Conduct chart review… 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. ... the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet...is required: **Required Certified Professional Coder (CPC):** **Preferred Certified Coding Specialist (CCS):** Pay Range: $22.36 -… more
- CaroMont Health (Gastonia, NC)
- …Specialists regarding coding guidelines and documentation required to capture HCC's for Risk Adjustment coding . Train and educate coding staff ... Job Summary: To identify needs for (through auditing or other methods)and provide coding education related to HCC (Hierarchical Category Coding ). Serve as a… more
- Corewell Health (Grand Rapids, MI)
- …of relevant experience related experienced. Required 1 of 7 Certifications + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management ... Association Coding Dept Only. + CRT-Professional Coder - AAPC American...Wealthy St SE - Grand Rapids Department Name CDI Risk Adjustment Employment Type Full time Shift… more
- Kelsey-Seybold Clinic (IA)
- …Assessment certificate. Preferred: HEDIS experience **License(s)** Required: CCS-P (Certified Coding Specialist -Physician) or CPC (Certified Professional Coder) ... for Coding and Reporting. **Job Title: HCC Coding Compliance Assistant-KS Plan Advantage- Risk Adjustm** **Location:...or CPC-A or CRC (Certified Risk Adjustment Coder) Preferred: N/A **Special Skills**… more
- Sharp HealthCare (San Diego, CA)
- …experience working as a certified coder. + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience with medical billing and with ... + Certified Professional Coder (CPC) - AAPC **OR** Certified Coding Specialist (CCS) - The American Health...coding principles.Educates clinicians and their staff on the HCC/ Risk Adjustment coding guidelines and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist… more
- Hawaii Pacific Health (Honolulu, HI)
- …Information Technician certification, Certified Professional Coder - Risk Adjustment (CRC) or Certified Clinical Documentation Specialist (CCDS). Previous ... Non-Bargaining Starting Hourly Rate: 37.34 **Exempt:** Yes **Minimum Qualifications:** Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or… more
- HCA Healthcare (Nashville, TN)
- …previous chart abstraction experience is preferred. CERTIFICATION/LICENSE: + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... We care like family! Jump-start your career as a Coding Operations Education and Appeals Consultant today with HCA...or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) Physician Services Group… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …care teams across medical offices to promote accurate clinical documentation and risk adjustment opportunities identified during chart reviews or analytics. ... or RHIA Source: AHIMA Certified Professional Coder (CPC Certification) CCS (Certified Coding Specialist )CCS-P (Certified Coding Specialists - Physician… more
- Mount Sinai Health System (New York, NY)
- …Credentials in one or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the...and HCPCS + Familiarity and understanding of CMS HCC Risk Adjustment coding and data… more
- SSM Health (MO)
- …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... our mission is what sets us apart. The Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and… more
- Intermountain Health (Las Vegas, NV)
- …leaders, physicians, advanced practice providers (APP), and other staff about documentation and risk adjustment in order to improve the accuracy of the overall ... mentor to leaders, physicians, APP's, and other staff about documentation and risk adjustment . + Reviews medical records documentation for reimbursement,… 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 ... Patient Financial Services **Job Description:** The Outpatient Clinical Documentation Specialist (CDS) will perform concurrent and retrospective compliance reviews… more
- Queen's Health System (Honolulu, HI)
- …completeness of documentation and code assignment for the purposes of appropriate reimbursement, risk adjustment , severity of illness, risk of mortality, ... to ensure the appropriate capture of Comorbid conditions and Major comorbid conditions. * Collaborates with coding staff and quality team to ensure integrity and… more
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