- 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
- Humana (Providence, RI)
- …Coder (AAPC) + CIC - Certified Inpatient Coder (AAPC) + CRC - Certified Risk Coder (AAPC) + CCA - Certified Coding Associate (AHIMA) + CCS - Certified ... of our caring community and help us put health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes… more
- CVS Health (Providence, RI)
- …Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) ... identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent… 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
- Baylor Scott & White Health (Providence, RI)
- **JOB SUMMARY** Accountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment ... strategies and processes for lines of business subject to risk adjustment. **Salary Range:** The pay range for this...(CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health… more
- CenterWell (Providence, RI)
- …within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing efficiency and ... tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- Highmark Health (Providence, RI)
- …areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in ... With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff education… more
- Sharecare (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 ... + Patient Care Technician (PCT) + Medical Secretary/Clinic Manager + Medical Coder + Claim Specialist + Health Care Administration + Benefit Specialist +… more
- Sharecare (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