• Risk Adjustment CPC

    Robert Half Office Team (Tampa, FL)
    Description We are seeking a proficient and dynamic Risk Adjustment Coder to join our remote team. The chosen candidate will have an active CPC license, ... Qualifications: + 3-5 years of solid experience as a risk adjustment coder + A...adjustment coder + Active Certified Professional Coder ( CPC ) license + In-depth understanding of… more
    Robert Half Office Team (09/12/24)
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  • Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    …in one of the following is required: Certified Risk Adjustment Coder (CRC) Certified Professional Coder ( CPC ) Certified Coding Specialist (CCS) High ... cadence to enrich the overall member experience. Essential Duties and Responsibilities: Risk Adjustment Coder is responsible for reviewing, abstracting,… more
    Apex Health Solutions (09/15/24)
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  • HCC Risk Adjustment Coder

    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 ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...the achievement of the correlating professional credential (RHIT, CCS, CPC -H etc.); active and in good standing. A … more
    MedKoder (07/17/24)
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  • Certified Risk Adjustment

    Centene Corporation (Tallahassee, FL)
    …using the most current International Classification of Diseases, (ICD-10) for CMS risk adjustment purposes. + Codes, abstracts and analyzes inpatient and/or ... Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.… more
    Centene Corporation (09/17/24)
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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. ... the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet...one of the following is required: **Required Certified Professional Coder ( CPC )** **Preferred Certified Coding Specialist (CCS)**… more
    Centene Corporation (09/07/24)
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  • CRC Risk Adjustment Medical…

    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 possess ... inclusive work environment. CRC certification is highly preferred. Requirements Medical Coding, Risk Adjustment Coding, CPC , CRC Robert Half is the world's… more
    Robert Half Accountemps (09/08/24)
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  • CRC Risk Adjustment Medical…

    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 will ... handle bill holds related to charge reviews held by Risk Management, coordinating approvals and bill release process. +...Medical Coding + Medical Billing + Medical Charting + CPC or CCS is a plus Robert Half is… more
    Robert Half Accountemps (09/08/24)
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  • Sr. Coding Quality Auditor & Educator - Certified…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …+ Extensive knowledge of ICD-10-CM coding guideline + AAPC, Certified Professional Coder ( CPC ), Certified Risk Coder (CRC) This document is not an ... is eligible in the following personas: E-Worker, Mobile and Resident The Risk Adjustment Senior Coding Quality Auditor & Educator provides education and training… more
    Blue Cross Blue Shield of Massachusetts (09/11/24)
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  • Senior Coder - Revenue Cycle Coding…

    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 ... Coder American Academy of Professional Coders (AAPC) Or CPC - Cert-Cert Professional Coder American Academy of Professional Coders (AAPC) Or CPC -A… more
    UTMB Health (08/20/24)
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  • Inpatient Coder IV - Remote

    AdventHealth (Altamonte Springs, FL)
    …multiple priorities at once with little supervision. * Possesses knowledge about risk adjustment and hospital publicly reported data. * Possesses knowledge ... Location** : **Monday-Friday** **Remote** **The role you'll contribute:** The Coder Analyst IV is a Health Information Professional with...for this position. **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** * CPC or CPC -P, or CCS or RHIA… more
    AdventHealth (08/13/24)
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  • Provider Education Lead Analyst - Hybrid-…

    The Cigna Group (Chattanooga, TN)
    …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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  • 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 ... doing inpatient, requires Certified Coding Specialist (CCS) or Certified Professional Coder ( CPC ) or Certified Coding Specialist-Physician (CCS-P) or Registered… more
    Banner Health (08/30/24)
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  • Medical Coder

    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. This...contract opportunity in the healthcare industry. As a Medical Coder , your responsibilities will encompass processing and maintaining patient… more
    Robert Half Office Team (09/15/24)
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  • Risk Adjustment Coding Specialist

    VNS Health (Manhattan, NY)
    Coder ( CPC ) or Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding preferredEducation: Bachelor's Degree or ... CMS Hierarchical Condition Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding… more
    VNS Health (09/04/24)
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  • Clinical Manager, Risk Adjustment

    VNS Health (Manhattan, NY)
    …Professional Coder ( CPC ), Certified Coding Specialist (CCS), or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required + License and ... OverviewAs the Clinical Manager for Risk Adjustment , you will be at the forefront of our mission to optimize clinical coding practices and enhance the efficacy… more
    VNS Health (09/04/24)
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  • Medicare Advantage Risk Adjustment

    UCLA Health (Los Angeles, CA)
    …+ A Certified Professional Coder ( CPC ) certification and a Certified Risk Adjustment Coder (CRC), required + Bachelor's degree (healthcare or ... Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor, you will be an expert in risk adjustment coding and… more
    UCLA Health (08/29/24)
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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...Specialist + CCS-P - Certified Coding Specialist-Physician Based + CPC - Certified Professional Coder + RHIA… more
    Baylor Scott & White Health (09/14/24)
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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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  • Coding Auditor - Finance - Spectrum - Day Shift…

    Sharp HealthCare (San Diego, CA)
    …as a certified coder . + 2 Years experience working as a HCC risk adjustment coding auditor. + Experience with medical billing and with medical terminology. ... 1 **Shift Start Time** **Shift End Time** Certified Professional Coder ( CPC ) - AAPC; HS Diploma or...and coding principles.Educates clinicians and their staff on the HCC/ Risk Adjustment coding guidelines and makes recommendations… more
    Sharp HealthCare (08/08/24)
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  • Clinical Transformation Educator, Geisinger Health…

    Geisinger (Danville, PA)
    …2 years; Bachelor's Degree = 4 years). Position Details Minimum certifications required:Certified Risk Adjustment Coder (CRC) and Certified Professional ... Coder - American Academy of Professional Coders (AAPC); Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Registered… more
    Geisinger (09/02/24)
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