- Robert Half Accountemps (Nashville, TN)
- Description Immediate need for a CRC Risk Adjustment Medical Coder to join our dynamic healthcare team on a 100% REMOTE basis. The individual must ... our inclusive work environment. CRC certification is highly preferred. Requirements Medical Coding, Risk Adjustment Coding, CPC, CRC Robert Half is… more
- Robert Half Accountemps (Chandler, AZ)
- Description A hospital in Los Angeles is in the need of a Medical Coder for a Medical Chart Auditor. The Medical Chart Auditor whose primary responsibilities ... finalizing edits in the Patient Accounting System or claims editing system. The Medical Chart Auditor will conduct insurance audits in conjunction with chosen payer… more
- CenterWell (Carson City, NV)
- …community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, & ... and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical ...clinical documentation with the health record. + Ensure medical record documentation is accurate and complete. + Follow… more
- Fallon Health (Worcester, MA)
- …and report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details ... documentation feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Quality Auditor & Educator provides education and training for the Risk Adjustment Coding team to ensure coding and clinical documentation accuracy and ... consistency. Collaborating with the Manager of Risk Adjustment Operations, this position will also...coding guideline + AAPC, Certified Professional Coder (CPC), Certified Risk Coder ( CRC ) This document is not… more
- VNS Health (Manhattan, NY)
- …or reimbursement related issues; makes coding and documentation recommendations for adherence to risk adjustment models. + Reviews medical documentation to ... subject matter expert offering training and support to our Medical Care at Home clinicians and staff, and contributing...Professional Coder (CPC) or Certified Coding Specialist (CCS) or ( CRC ) Certified Risk Adjustment Coder… more
- CRC Insurance Services, Inc. (Columbus, OH)
- …and groups for medical conditions to determine suitable products and risk adjustment factors on premium rates. + Aiding agents/brokers in obtaining ... of TIH Insurance Holdings, LP (TIH) offering the position. TIH offers medical , dental, vision, life insurance, disability, accidental death and dismemberment and… more
- VNS Health (Manhattan, NY)
- …irregularities evidencing deviations from coding protocols. Conducts chart review around Provider Risk Adjustment Activity and clinical documentation errors ... and consistency. Supports the creation, maintenance, and enhancement of clinical documentation accuracy in support of building a model...Professional Coder (CPC) or Certified Coding Specialist (CCS) or ( CRC ) Certified Risk Adjustment Coder… more
- VNS Health (Manhattan, NY)
- OverviewAs the Clinical Manager for Risk Adjustment , you will be at the forefront of our mission to optimize clinical coding practices and enhance the ... enhancements, changes, and new products. + Provides updates to Risk Adjustment Stakeholders on program clinical...Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or ( CRC ) Certified Risk Adjustment Coder… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS- Risk ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior coding… more
- Apex Health Solutions (Houston, TX)
- …standards. Tracking and monitoring of medical records requests for all risk adjustment projects. Performs telephonic outreach to provider practices and/or ... Education/Licenses/Certifications: A certification in one of the following is required: Certified Risk Adjustment Coder ( CRC ) Certified Professional Coder… more
- UCLA Health (Los Angeles, CA)
- …individual with: + A Certified Professional Coder (CPC) certification and a Certified Risk Adjustment Coder ( CRC ), required + Bachelor's degree (healthcare ... Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and...associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)… more
- MedKoder (Mandeville, LA)
- …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or...+ Abstract and code diagnosis and documentation information + Research and resolution of coding projects as assigned +… more
- The Cigna Group (Chattanooga, TN)
- …AAPC (at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder ( CRC ) + Certified Coding Specialist for Providers ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market.… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …personal adjustment . The incumbent will use professional counseling and clinical modalities to promote and support optimal functioning, independence, personal ... adjustment , adaptation to disability, community reintegration, and recovery. Responsibilities...a consultant to an interdisciplinary treatment team or other clinical staff as it relates to the Veteran's vocational… more
- CareFirst (Baltimore, MD)
- …(CCS or CPC)-AHIMA or AAPC **Experience:** 3 years experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; ... financial and incentive models. Strategizes alternatives and solutions to maximize payments and risk adjustment . Translates from claim language to services in an… more
- Robert Half Office Team (Gardena, CA)
- …3M Coding software is essential * Familiarity with Eclinical Works * Experience with Risk Adjustment * CPC, CRC Certified * Ability to maintain ... Description We are seeking a Medical Coder in Gardena, California, 90248, United States....billing functions and claim administration effectively. * Efficiently manage clinical trial operations and maintain relevant charts and graphs.… more
- Sedgwick (Columbus, OH)
- …site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ESSENTIAL FUNCTIONS and ... decisions regarding client's competence for specific position. + Adheres to medical and legal regulations and accreditation standards in written communication. +… more
- WelbeHealth (Los Angeles, CA)
- …education and experience in coding and auditing + Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current ... in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion...on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as… more
- Trinity Health (Livonia, MI)
- …of Coding, Clinical Documentation & HIM to analyze the quarterly Semi-Annual Risk Adjustment Reporting Suite and develop strategies to reduce dropped HCCs. + ... systems. + Work closely with the Director of Coding, Clinical Documentation & HIM, providers, and medical ...degree in healthcare related field required. + CPC and CRC certifications required. + RHIT certification strongly preferred. +… more