- UCLA Health (Los Angeles, CA)
- …- Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, ... Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk... Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered… more
- Centene Corporation (Phoenix, AZ)
- …70-100 providers. + Develop collaborative relationships with providers to educate and improve Risk Adjustment coding and documentation competencies. + Use ... surrounding Tempe and Tucson, Arizona visiting Providers. **Position Purpose:** Utilize risk adjustment methodologies, principles, and knowledge of managed care… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider ... 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 (OH)
- … Coding Compliance Specialist I** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA ... Coding Compliance Specialist II** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA… more
- Medical Mutual of Ohio (Toledo, OH)
- …(Registered Health Information Technician) and/or + CCS/CCS-P (Certified Coding Specialist /Physician-based + CRC (Certified Risk Adjustment Coder) or ... **Job Summary:** Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with… more
- Baylor Scott & White Health (Columbus, OH)
- …accurately maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines of business subject to ... risk adjustment . **Salary Range:** The pay range...EXPERIENCE - 2 Years of Experience **CERTIFICATION/LICENSE/REGISTRATION** + Cert Coding Specialist (CCS), Cert Coding … more
- UCLA Health (Los Angeles, CA)
- …compliance officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the manager of the coding team and our ... can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment … more
- Corewell Health (Grand Rapids, MI)
- …of relevant experience related experienced. Required 1 of 7 Certifications + CRT- Coding Specialist (CCS) - AHIMA American Health Information Management ... Association Coding Dept Only. + CRT-Professional Coder - AAPC American...Wealthy St SE - Grand Rapids Department Name CDI Risk Adjustment Employment Type Full time Shift… more
- Centene Corporation (Columbia, SC)
- …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...the following is required: **Certified Professional Coder (CPC)** **Certified Coding Specialist (CCS)** Centene offers a comprehensive… more
- Catholic Health Initiatives (Chattanooga, TN)
- …team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition ... Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist… more
- HCA Healthcare (Charleston, SC)
- …minimal overnight travel. EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - ... Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and… more
- UTMB Health (Galveston, TX)
- … Associate American Health Information Management (AHIMA) Or + CCS - Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or + CCS-P - ... Coder - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial...of Professional Coders (AAPC) Or + CRC - Cert Risk Adjustment Coder American Academy of Professional… more
- Fairview Health Services (St. Paul, MN)
- …provider documentation for clinical conditions and procedures to reflect severity of illness, risk adjustment , accurate coding , accuracy of patient outcomes, ... a combination of 1-2 years coding experience and HCC Capture, Risk Adjustment or Outpatient CDI experience. + Demonstrated extensive critical-thinking… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …care teams across medical offices to promote accurate clinical documentation and risk adjustment opportunities identified during chart reviews or analytics. ... or RHIA Source: AHIMA Certified Professional Coder (CPC Certification) CCS (Certified Coding Specialist )CCS-P (Certified Coding Specialists - Physician… more
- Fallon Health (Worcester, MA)
- …of any of the following Certified Coding Specialist (CCS), Certified Risk Adjustment Coding (CRC) or Certified Professional Coder (CPC) required. * ... updates * Develop and coordinate education and training that focuses on Risk Adjustment coding and documentation opportunities utilizing a variety of methods… more
- SSM Health (MO)
- …support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... our mission is what sets us apart. The Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and… more
- Hartford HealthCare (Farmington, CT)
- … will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to Manager ... Relationships:_* *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding...Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs… more
- Mount Sinai Health System (New York, NY)
- …Credentials in one or more of the following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the...and HCPCS + Familiarity and understanding of CMS HCC Risk Adjustment coding and data… more
- Medical Mutual of Ohio (OH)
- …best possible health and quality of life. **Responsibilities** **Medical Record Retrieval Specialist ** Supports the company's risk adjustment projects by ... Informatics in planning and delivery of reports to close coding and care gaps and improve member outcomes. .... Specialist ** Under limited supervision, supports the company's risk adjustment projects by collaborating with vendors… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories (HCC) coding . Specific duties include performing ... Professional Coder certification (CPC), Certified Professional Medical Auditor (CPMA),Certified Coding Specialist (CCS), Certified Inpatient Coder(CIC),or Certified… more