• Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    …cadence to enrich the overall member experience. Essential Duties and Responsibilities: Risk Adjustment Coder is responsible for reviewing, abstracting, ... and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and...certification in one of the following is required: Certified Risk Adjustment Coder (CRC) Certified… more
    Apex Health Solutions (09/15/24)
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  • Certified Risk Adjustment

    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. ... as needed. + Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth...the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet… more
    Centene Corporation (09/07/24)
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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. ... be validated. + Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth...the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet… more
    Centene Corporation (09/17/24)
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  • Coder Senior (work from home Eastern United…

    Geisinger (Danville, PA)
    …Position Details One of the following certifications is needed upon hire: Certified Risk Adjustment Coder - American Academy of Professional Coders ... Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional… more
    Geisinger (09/25/24)
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  • Coder

    St. Luke's Health System (Boise, ID)
    …Professional Coder ), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ). **What's in it ... Idaho or Oregon!** **What You Can Expect:** Under limited supervision, the Coder 2 is responsible for reviewing applicable documentation and assigning appropriate… more
    St. Luke's Health System (09/21/24)
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  • Coder III

    Geisinger (Danville, PA)
    …Certified Professional Coder - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American Academy of Professional Coders ... for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and… more
    Geisinger (09/23/24)
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  • Inpatient Facility Coder Quality Associate…

    Banner Health (LA)
    …required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation requirements. Must ... make a life and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+ years of acute… more
    Banner Health (08/30/24)
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  • Medical Coder

    Robert Half Office Team (Jersey City, NJ)
    …AHA Coding Clinics Requirements We are specifically looking for ICD-10-CM "coding" with HCC/ Risk adjustment experience MUST work EST hours; Monday - Friday 40 ... Description We are in search of a Medical Coder in the Healthcare industry to start ASAP!...in accordance with government and insurance regulations. + Audit outpatient charts to validate ICD10 diagnosis coding on qualifying… more
    Robert Half Office Team (09/17/24)
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  • Risk Adjustment Education Specialist…

    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
    Carle (09/10/24)
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  • Lead Risk Adjustment Analyst - HFHP…

    Health First (Rockledge, FL)
    …Professional Coder (CPC) or Certified Coding Specialist (CCS) certification. o Certified Risk Adjustment Coder (CRC) from AAPC. * Work Experience: o ... *POSITION SUMMARY * Contribute to Health First Health Plans Risk Adjustment activities that support compliance with regulatory and contractual requirements… more
    Health First (09/24/24)
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  • Certified Risk Adjustment Coding…

    Trinity Health (Livonia, MI)
    …Information Administrator thru AHIMA + Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must ... **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan… more
    Trinity Health (09/17/24)
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  • BSWHP Risk Adjustment Auditor I

    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...to code and abstracts diagnoses and/or procedures for inpatient, outpatient , and clinic cases + Conducts focused HCC reviews… more
    Baylor Scott & White Health (09/14/24)
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  • Clinical Documentation Specialist…

    Kaleida Health (Buffalo, NY)
    …ensure that clinical information is captured to support the level of service rendered, risk adjustment of the patient population, and the appropriate data and ... 24040 - KH Patient Financial Services **Job Description:** The Outpatient Clinical Documentation Specialist (CDS) will perform concurrent and retrospective… more
    Kaleida Health (09/07/24)
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  • Clinical Documentation Specialist I - Remote

    Mount Sinai Health System (New York, NY)
    …one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional Coder (CPC) ... quality and completeness of clinical documentation and coding in outpatient physician practices. They will work closely with physicians,...following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o… more
    Mount Sinai Health System (09/26/24)
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  • IPA Coding Associate Director

    Conviva (Tallahassee, FL)
    …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
    Conviva (08/21/24)
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  • Provider Education Lead Analyst - Hybrid-…

    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) ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market.… more
    The Cigna Group (08/08/24)
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  • Coding Education Specialist - Philadelphia…

    The Cigna Group (Nashville, TN)
    …(at least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... + At least two years of hospital inpatient / outpatient or medical office coding experience, preferably two years... or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge… more
    The Cigna Group (09/20/24)
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  • Coding Quality Specialist

    St. Luke's Health System (Boise, ID)
    Coder ), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ), CAISS (Certified ... Abbreviated Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries). **What's in it for You:** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits… more
    St. Luke's Health System (09/21/24)
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  • Onsite Coding Auditor, Admin CBO - Full Time 80

    Trinity Health (Fresno, CA)
    …and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of ... for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder 's charge capture and coding with proper International Classification of Diseases… more
    Trinity Health (09/24/24)
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  • Manager Coding Operations - Remote

    Trinity Health (Columbus, OH)
    …CCS, RHIT, RHIA certification(s) required. + Certified E&M Coder (CEMC), and/or Certified Risk Adjustment Coder (CRC) preferred + Minimum of three years ... Carmel?** With five hospitals (https://www.mountcarmelhealth.com/find-a-location/) , over 60 free-standing outpatient clinics (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu)… more
    Trinity Health (08/22/24)
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