• Associate, Risk Adjustment Coder

    MVP Health Care (Rochester, NY)
    …Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and CRC- Certified Risk Adjustment Coding Credential required. + Minimum of ... Actively participates in and supports the Risk Adjustment team-based environment to educate providers on coding...coding compliance and consistency. + Works with the Coding Leader of Risk Adjustment more
    MVP Health Care (03/04/25)
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  • Coding Specialist

    VNS Health (Manhattan, NY)
    … Professional Coder (CPC) or Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required. required + ... related issues; makes coding and documentation recommendations for adherence to risk adjustment models. + Reviews medical documentation to ensure all key… more
    VNS Health (02/11/25)
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  • Risk and Quality Provider Educator

    VNS Health (Manhattan, NY)
    …+ Certified Professional Coder (CPC) or (CRC) Certified Risk Adjustment Coder or Certified Coding Specialist (CCS) required + Additional ... opportunities to support precise clinical documentation. Collaborating with the Risk Adjustment and Quality teams, you'll help...coding certifications such as Certified Inpatient Coder (CIC) or Registered Health Information Technician… more
    VNS Health (03/04/25)
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  • Risk Adjustment Coding

    CareOregon (Portland, OR)
    Job Title Risk Adjustment Coding Manager Requisition...7 years' experience as certified coder + Certified Risk Adjustment Coder (CRC), ... reside in Oregon or SW Washington. Job Summary The Risk Adjustment Coding Manager is...Certified Documentation Improvement Practitioner (CDIP) or Certified Documentation Expert Inpatient or Outpatient (CDEI or CDEO)… more
    CareOregon (03/21/25)
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  • Risk Adjustment Coding

    AdventHealth (Altamonte Springs, FL)
    ** Risk Adjustment Coding Specialist -** **AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from Day ... 8am - 5pm **Location:** Virtual **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective… more
    AdventHealth (03/18/25)
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  • Certified Risk Adjustment

    Ascension Health (Des Plaines, IL)
    …Candidates must have the following certification thru AAPC (credentialing board): ** Certified Risk Adjustment Coder (CRC) - STRONGLY ... Provider ambulatory chart reviews to identify inaccurate or unclear documentation and coding relating to risk adjustment and version 28 HCC ICD-10 + Utilizes… more
    Ascension Health (02/15/25)
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  • Risk Adjustment Consultant TMIN

    Tufts Medicine (Burlington, MA)
    …will provide provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified ... adult medicine experience. **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC)...to physicians on a regular basis in regards to Risk Adjustment Coding guidelines (HCC/DxCG),… more
    Tufts Medicine (03/21/25)
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  • Director, Risk Adjustment

    Banner Health (AZ)
    …and managing all aspects of coding operations, including prospective and concurrent risk adjustment coding , for Banner Plans and Network. This role ... goals. This position has administrative leadership responsibility for the Risk Adjustment Coding strategic and...AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding more
    Banner Health (03/19/25)
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  • HCC Risk Adjustment Coder

    MedKoder (Mandeville, LA)
    …with government regulations while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health ... primary function of this position is to perform ICD-10-CM coding for risk adjustment -eligible encounters....and flexible scheduling year-round + Internal network of Medical Coding Industry Leaders - CEO is a Certified more
    MedKoder (01/14/25)
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  • Risk Adjustment Audit and Compliance…

    Dignity Health (Bakersfield, CA)
    …Health Services Organization (PHSO) function, specifically the Value-based Coders and the Risk Adjustment Coding and Training Specialist, to ensure ... the risk adjustment coding process is accurate and compliant...Bachelor's degree or equivalent experience in related field - Certified Professional Coder (CPC) Certification - Strong understanding of… more
    Dignity Health (03/20/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    …or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Reliable transportation to ... Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and … more
    UCLA Health (02/19/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Columbus, OH)
    …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...risk adjustment . **Salary Range:** The pay range for this position...Must have one of the following: + CCS - Certified Coding Specialist + CCS-P - … more
    Baylor Scott & White Health (03/13/25)
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  • Risk Adjustment Medical Record Coder

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    … certification from AHIMA or AAPC \(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPCwithin one year, ... the application and submit it\. **Job Responsibilities** + Maintain compliance with CMS risk adjustment diagnosis coding guidelines\. + Perform comprehensive… more
    BlueCross BlueShield of Tennessee (03/19/25)
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  • Risk Adjustment Coder

    Centene Corporation (Tallahassee, FL)
    …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...A license in one of the following is required: ** Certified Professional Coder (CPC)** ** Certified Coding more
    Centene Corporation (03/21/25)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Columbus, OH)
    …partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding more
    Highmark Health (03/04/25)
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  • Coding Auditor

    CareOregon (Portland, OR)
    …+ Active coder certification through AHIMA or AAPC + For Finance Department only: Current Certified Risk Adjustment Coder (CRC) or completion within one year ... positions must reside in Oregon or Washington. Job Title Coding Auditor Requisition # 24856 Exemption Status Exempt Management...Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and Benefits… more
    CareOregon (03/11/25)
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  • Medical Coding And Billing Analyst

    CenterLight Health System (NY)
    … Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) years' ... physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random… more
    CenterLight Health System (03/08/25)
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  • Documentation & Coding Consultant

    Virginia Mason Franciscan Health (Seattle, WA)
    …payer and 3 years experience as an instructor/trainer. + Clinical knowledge and exposure to risk adjustment coding .. **Pay Range** $32.56 - $48.23 /hour We ... develops and conducts on-going training regarding professional services and risk adjustment revenue and reimbursement. + Interprets...as a Certified Professional Coder (CPC) or Certified Coding Specialist - Physician based (CCS-P).… more
    Virginia Mason Franciscan Health (02/21/25)
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  • Provider Coding Documentation Specialist

    Novant Health (NC)
    …skills validation and competence testing. + Completion of Risk Adjustment Coding Certification (CRC) and Certified Documentation Expert ... + Licensure/Certification: + CPC ( Certified Professional Coder), required. + CRC ( Certified Risk Adjustment Coder), required. + CDEO ( Certified more
    Novant Health (02/13/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding more
    Catholic Health Initiatives (03/06/25)
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