• Risk Adjustment Coder

    LifePoint Health (Denver, CO)
    …may have your next opportunity. We are currently seeking an Outpatient Risk Adjustment Coder . This remote -based position willbridge the gap between the ... **Organization:** **Pacific Medical Data Solutions* **Title:** * Risk Adjustment Coder - Remote Work* **Location:** *Colorado-Denver* **Requisition ID:**… more
    LifePoint Health (01/03/25)
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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 to providers. This includes the analysis… more
    MedKoder (10/16/24)
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  • Inpatient Coder - REMOTE

    Garnet Health (Middletown, NY)
    …to obtain optimal coding on each account. Must be able to code based on Risk Adjustment principles in accordance with all ICD-10 guidelines. At Garnet Health, we ... make your career home with us as a Inpatient Coder on our Coding team at/in Garnet Health Medical...computer and code books. Working Conditions: Busy Office / Remote Option Available Physical Requirements: Working Conditions: Environmental Demands… more
    Garnet Health (12/30/24)
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  • Senior Coder - RCO - Utrgv

    UTMB Health (Galveston, TX)
    … - Apprentice American Academy of Professional Coders (AAPC) Or + CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) One of ... Senior Coder - RCO - UTRGV **Galveston, Texas, United...if discussed and approved by hiring authority. **Work Schedule:** Remote position. 8am to 5pm, and as needed on… more
    UTMB Health (01/03/25)
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  • Complex Coder Physician Practice General…

    Banner Health (AZ)
    …years of Multi-Specialty - General Medicine (some HCC) Coding** **experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, ... offer our team members many career and lifestyle choices including remote work options. Our **Multi-Specialty, General Medicine,** **Physi** **cian Practice Coding… more
    Banner Health (12/14/24)
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  • Risk Adjustment Reporting and Data…

    Martin's Point Health Care (NY)
    …Certification(s): . Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) preferred. Skills/Knowledge/Competencies (Behaviors): ... a "Great Place to Work" since 2015. Position Summary The Risk Adjustment Reporting and Data Analystanalyzes data, reviews findings, and develops recommendations… more
    Martin's Point Health Care (12/21/24)
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  • Risk Adjustment Provider Programs…

    Medical Mutual of Ohio (OH)
    …Medicare Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance, ... the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In Office Assessment program for both MA… more
    Medical Mutual of Ohio (12/06/24)
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  • Clinical Documentation Specialist I - Risk

    Baylor Scott & White Health (Columbus, OH)
    …of Illness, and Risk of Mortality. **SALARY - WORK MODEL** 100% Remote The pay range for this position is $37.35 (entry-level qualifications) - $57.89 (highly ... conditions or procedures to support the appropriate severity of illness (SOI), expected risk of mortality (ROM) and complexity of care of the patient through… more
    Baylor Scott & White Health (01/03/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …skills required + Demonstrated ability to lead, coach, and drive change + **Certified Risk Adjustment Coder (CRC) certification preferred, or required within ... supports Cigna's Individual and Family Plan's (IFP) Business Operations' Risk Adjustment and Quality Management program and...but not limited to Supplemental Diagnoses, Risk Adjustment Data Validation (RADV) audits, and coder more
    The Cigna Group (12/31/24)
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  • Revenue Management Educator ( Remote Option…

    Marshfield Clinic (Marshfield, WI)
    …one year. State of Wisconsin Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of ... external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the… more
    Marshfield Clinic (12/03/24)
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  • Medical Coding Compliance Specialist

    Medical Mutual of Ohio (OH)
    …Technician) and/or** **o** **CCS/CCS-P (Certified Coding Specialist/Physician-based)** **.** **CRC (Certified Risk Adjustment Coder ) or other industry ... and/or** **o** **CCS/CCS-P (Certified Coding Specialist/Physician-based)** **.** **CRC (Certified Risk Adjustment Coder ) or other...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
    Medical Mutual of Ohio (12/10/24)
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  • PAR - Medical Coding Compliance Specialist

    Medical Mutual of Ohio (Toledo, OH)
    …Information Technician) and/or + CCS/CCS-P (Certified Coding Specialist/Physician-based + CRC (Certified Risk Adjustment Coder ) or other industry recognized ... **Job Summary:** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with… more
    Medical Mutual of Ohio (11/28/24)
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  • Hierarchical Condition Category (HCC) Coding…

    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) ... for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder more
    Highmark Health (12/20/24)
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  • Medical Record Retrieval Specialist

    Medical Mutual of Ohio (OH)
    …of life. **Responsibilities** **Medical Record Retrieval Specialist** Supports the company's risk adjustment projects by collaborating with vendors and provider ... offices/facilities to retrieve medical records. Supports other initiatives related to Risk Adjustment Programs (RAPS) and Healthcare Effectiveness Data and… more
    Medical Mutual of Ohio (12/10/24)
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