• Risk Adjustment Coder

    Centene Corporation (Columbia, SC)
    …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...in one of the following is required: **Certified Professional Coder (CPC)** **Certified Coding Specialist (CCS)** Centene offers a… more
    Centene Corporation (01/10/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Columbia, SC)
    …Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker ... identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team management ability Excellent… more
    CVS Health (12/25/24)
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  • Manager, Medicaid Risk Adjustment

    CVS Health (Columbia, SC)
    …and/or presentation skills. **Preferred Qualifications** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Prior experience in ... for an enthusiastic team player to lead a suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to… more
    CVS Health (01/04/25)
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  • Regional Coding Operations Manager Rcom WFH

    HCA Healthcare (Charleston, SC)
    …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner ... and eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. + Experience leading large… more
    HCA Healthcare (01/10/25)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Columbia, SC)
    …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder more
    Highmark Health (12/20/24)
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