- MedKoder (Mandeville, LA)
- …(recent hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and… more
- Banner Health (AZ)
- …of Multi-Specialty - General Medicine (some HCC ) Coding** **experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, ... **Physi** **cian Practice Coding Team** is looking for an **experienced** **Medical Coder with General Medicine: Multi-Specialty experience.** This is a skilled team… more
- Evolent Health (Columbus, OH)
- …in a Risk Adjustment HCC coding role as a Certified Risk Adjustment Coder ("CRC") or equivalent. Experience in working with Primary Care ... Stay for the culture. **What You'll Be Doing:** The ** Risk Adjustment HCC Coding Support...for MSSP, MA and Commercial patients using the CMS HCC crosswalks, this coder will perform a… more
- Apex Health Solutions (Houston, TX)
- …cadence to enrich the overall member experience. Essential Duties and Responsibilities: Risk Adjustment Coder is responsible for reviewing, abstracting, ... as assigned. Qualifications: Minimum of three (3) years HCC experience performing retrospective risk adjustment...certification in one of the following is required: Certified Risk Adjustment Coder (CRC) Certified… more
- Centene Corporation (Tallahassee, FL)
- …understanding of these guidelines. + Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet productivity and accuracy ... ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete… more
- Centene Corporation (Tallahassee, FL)
- …understanding of these guidelines. + Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet productivity and accuracy ... ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete… more
- Highmark Health (Columbus, OH)
- …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
- Molina Healthcare (Lexington, KY)
- … Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer ... Education** Bachelor's Degree in related field **Preferred Experience** + Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model +… more
- Banner Health (LA)
- …coding experience required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation ... and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+...and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors… more
- Robert Half Office Team (Jersey City, NJ)
- …and AHA Coding Clinics Requirements We are specifically looking for ICD-10-CM "coding" with HCC / Risk adjustment experience MUST work EST hours; Monday - ... to possible hire, remote opportunity. We are looking to hire an experienced HCC coder with experience in ICD10-CM coding and one of the following coding… more
- Geisinger (Danville, PA)
- …Certified Professional Coder - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American Academy of Professional Coders ... A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation,...in decision making relevant to physician coding education and HCC targeting purposes. + Provides encoder software and EMR… more
- Carle (Urbana, IL)
- …must be maintained with required continuing education (CEUs). within 1 year or Certified Risk Adjustment Coder (AAPC) Certification must be maintained with ... Risk Adjustment Education Specialist - HYBRID...continuing education (CEUs). within 1 year or Certified Professional Coder (AAPC) Certification must be maintained with required continuing… more
- Health First (Rockledge, FL)
- …Professional Coder (CPC) or Certified Coding Specialist (CCS) certification. o Certified Risk Adjustment Coder (CRC) from AAPC. * Work Experience: o ... of Risk Adjustment MA and IFP coding experience with knowledge of Risk Adjustment , CMS and HHS HCC Models and basic understanding of HEDIS. o ICD… more
- VNS Health (Manhattan, NY)
- …Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required + License ... OverviewAs the Clinical Manager for Risk Adjustment , you will be at...Procedure Coding System (HCPCS), and related Hierarchical Condition Coding ( HCC ) Methodologies required. Proficiency with Microsoft Office (Project, Word,… more
- UCLA Health (Los Angeles, CA)
- …with: + A Certified Professional Coder (CPC) certification and a Certified Risk Adjustment Coder (CRC), required + Bachelor's degree (healthcare or ... billing and/or coding, required + Three or more years of recent experience in CMS- HCC Risk Adjustment models V24 and V28, required + Three or more years… more
- Baylor Scott & White Health (Columbus, OH)
- …Scott and White Health strategies and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range for this position is $26.27/hr ... audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record...for inpatient, outpatient, and clinic cases + Conducts focused HCC reviews on providers and clinics, tracks results and… more
- Centene Corporation (Tallahassee, FL)
- …medical coder **2+ years of experience** in coding with knowledge of Medicare risk adjustment ( HCC Coding) Required experience in teaching, training or ... record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care.… more
- Mount Sinai Health System (New York, NY)
- …Must have a minimum of 3 years coding experience o At least 1 year of HCC Risk Adjustment experience, preferred o Clinical background in a healthcare ... following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o...CPT, and HCPCS ? Familiarity and understanding of CMS HCC Risk Adjustment coding and… more
- The Cigna Group (Chattanooga, TN)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- Sharp HealthCare (San Diego, CA)
- …experience working as a certified coder . + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience with medical billing and with ... 1 **Shift Start Time** **Shift End Time** Certified Professional Coder (CPC) - AAPC; HS Diploma or Equivalent **Hours**...and coding principles.Educates clinicians and their staff on the HCC / Risk Adjustment coding guidelines and… more