- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp ... **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru...year if hired.** + **Two-years of experience in a risk adjustment coding environment required.**… more
- Datavant (Lansing, MI)
- … Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of ... daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving...**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- Datavant (Lansing, MI)
- …realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal ... from your own workspace! **What you will do:** + Coding Team Lead is responsible for supporting the ...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
- Datavant (Lansing, MI)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical… more
- CVS Health (Lansing, MI)
- …Coder) or CCS-P ( Certified Coding Specialist-Physician) required. + CRC ( Certified Risk Adjustment Coder) + Computer proficiency including experience ... the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… 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 ... REQUIRED: + Certified Professional Coder (CPC) required but Certified Coding Specialist (CCS) and/or Certified Coding Specialist-Physician… more
- Molina Healthcare (MI)
- …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight… more
- Deloitte (Detroit, MI)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk … more
- Centene Corporation (Lansing, MI)
- …Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). + Assists in ... the position. **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work… more