- Brockton Hospital (West Bridgewater, MA)
- …Summary: Under the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder , the primary function of this position is to ensure accurate ... problem solving and performance monitoring for associates. Works with Senior Risk Coder and Team members to perform Retrospective audits for identified open… more
- Evolent Health (Providence, RI)
- …2+ years in a Risk Adjustment HCC coding role as a Certified Risk Adjustment Coder ("CRC") or equivalent. Experience in working with Primary Care Providers, ... Stay for the culture. **What You'll Be Doing:** The ** Risk Adjustment HCC Coding Support Specialist** at Evolent will...and Commercial patients using the CMS HCC crosswalks, this coder will perform a comprehensive review of each progress… more
- Highmark Health (Providence, RI)
- …and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified ... will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act… more
- Conviva (Providence, RI)
- …speaking and presentation skills **Preferred Qualifications** + Bachelor's degree + Certified Risk Coder (CRC) + Experience interacting with healthcare providers ... of one year experience as a CPC (Certified Professional Coder ) certification through AHIMA or AAPC + A minimum...healthcare providers + Medical record review knowledge + Medicare Risk Adjustment knowledge + Extensive knowledge of coding guidelines… more
- Baylor Scott & White Health (Providence, RI)
- …& White Health Plan)** Accountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott and White Health strategies and ... processes for lines of business subject to risk adjustment. **SALARY RANGE** The pay range for this...Certified Coding Specialist-Physician Based + CPC - Certified Professional Coder + RHIA - Reg Health Info Administrator +… more
- Elevance Health (Smithfield, RI)
- …II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How will you make an impact:** + ... mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation....in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
- Sharecare, Inc. (Providence, RI)
- …quality PCPs to high quality PCPs, reminder for completion of health risk assessment, reminders for exams/tests due) + Proactive benefits education for procedures ... + Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental Assistant + Experience in customer service in a healthcare contact… more
- Elevance Health (Smithfield, RI)
- …of mutual concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. **Minimum Requirements:** + ... an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including… more