- Insight Global (Campbell, CA)
- …https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements -5+ years of experience as a risk adjustment coder , CRC -Must have active ... Job Description As an HCC Medical Coder , your primary responsibilities will revolve around ensuring accurate and compliant coding practices. You'll need to maintain… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …hours per week in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder \) certification is a plus\. If not ... from AHIMA or AAPC \(CPC, CCS, RHIT, RHIA\)\. + Must acquire the Certified Risk Adjustment Coder \(CRC\) certificate from AAPCwithin one year, after… more
- Amazon (IL)
- …* 2+ years as a Profee Coder in an office setting inclusive of risk adjustment coder experience required * 1+ year experience in Medicare ... ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10-CM, CPT,...requests in a timely manner. Work collaboratively with the Medicare Risk Operations team to ensure positive… more
- UTMB Health (Galveston, TX)
- …Coder - Apprentice American Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) *One ... Senior Coder - RCO Coding **Galveston, Texas, United States**...plus. **Preferred Qualifications:** PB/HB, Revenue Cycle, Coding, Charge Capture, Medicare , CMS preferred. **LICENSES, REGISTRATIONS OR CERTIFICATIONS** CCA -… more
- Ankura (New York, NY)
- …master's degree from an accredited college/university + 8+ years of experience in Medicare Risk Adjustment operations, internal audit, or compliance either ... as knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) certification * In-depth knowledge of ACA & ... Medicare Advantage risk adjustment methodology, coding guidelines (ICD-10-CM), healthcare compliance, and billing practices. * Proficiency in Excel and… more
- Trinity Health (Albany, NY)
- … and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote… more
- Henry Ford Health System (Troy, MI)
- …billing and third-party payer regulations. + Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. + Knowledge of ... deletions of codes, use of modifiers, and revenue codes to be compliant with Medicare rules and regulations, the Medicare Billing Manual, the American Medical… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional ... and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid |...Manager (CHQM) * Registered Nurse * Solid knowledge of Medicare Advantage Business Compensation and Benefits: Pay Range: $88,600.00… more
- Humana (Salt Lake City, UT)
- …to adapt quickly to change **Preferred Qualifications** + Bachelor's Degree + Certified Risk Adjustment Coder (CRC) + Certified Documentation Expert ... improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk … more
- Humana (Fort Lauderdale, FL)
- …interpreting large data sets **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare ... **Required Qualifications** + AHIMA or AAPC CPC (Certified Professional Coder ) Certification + 4 or more years of medical...public speaking and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional… more
- Bluestone Physician Services (Stillwater, MN)
- …+ Bachelor's degree in Health Information Management, Nursing, or related field. + Certified Risk Adjustment Coder (CRC) certification, Risk ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- Blue KC (Kansas City, MO)
- …groups. + Analyze data and monitor provider metrics to identify risk adjustment , HEDIS or educational opportunities for the Medicare Advantage and Qualified ... business. + Develop educational tools for network providers regarding risk adjustment and HEDIS documentation and coding...at least five years coding experience + Obtain Certified Risk Coder (CRC) within 1 year of… more
- CVS Health (Springfield, IL)
- … Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder ). + Computer proficiency including experience ... required. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred.… more
- Humana (Jackson, MS)
- … Risk Coder (CRC) + Experience interacting with healthcare providers + Medicare Risk Adjustment knowledge + Analyzing data to build unique education ... Coding Educator is responsible for creating and executing the risk adjustment strategy for each provider groups....an impact** **Required Qualifications** + AAPC CPC (Certified Professional Coder ) Certification + 2 or more years of medical… more
- UCLA Health (Los Angeles, CA)
- …and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk -based audits, ... more. * Design and improve audit toolkits based on Medicare Advantage and Part D risk areas....a related field and/or equivalent experience. + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), highly desired.… more
- Geisinger (Danville, PA)
- …Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional ... accurate predictive modeling is done by line of business ( Medicare versus Commercial). + Recommends reimbursement opportunities by utilizing...Coders (AAPC); Certified Professional Coder - American Academy of Professional Coders (AAPC) OUR… more