- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS- ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC...year if hired. + Two-years of experience in a risk adjustment coding environment required.… more
- VNS Health (Manhattan, NY)
- …(CPC) or Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding preferredEducation: Bachelor's Degree or ... Participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding... coding protocols. Conducts chart review around Provider Risk Adjustment Activity and clinical documentation errors… more
- The Cigna Group (Chattanooga, TN)
- …(CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered Health Information Management Technician ... (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred. + Must be a strong public speaker… more
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist ...Director, and Medical Director to strategically plan and execute Risk Adjustment coding efforts for ... a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults...ensure open communication and knowledge of risk adjustment initiatives, particularly related to coding accuracy… more
- Fallon Health (Worcester, MA)
- …on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details and ... documentation feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet… more
- 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 ... and feedback to providers. + Keeps abreast of changes and trends in risk adjustment coding requirements. Integrates updates into processes. + Monitors and… more
- 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...have one of the following: + CCS - Certified Coding Specialist + CCS-P - Certified … more
- Centene Corporation (Tallahassee, FL)
- …Certified Coding Specialist (CCS)** **Preferred Skills:** Experience with Risk Adjustment coding Comfortable utilizing Microsoft 365 (Word, Excel, ... using International Classification of Diseases, Ninth Revision (ICD-10). Always coding to the highest level of specificity. + Follows...a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete… more
- VNS Health (Manhattan, NY)
- …Coder (CPC) or Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding required. required Active Certified ... the healthcare field? We are seeking a skilled Home Coding Specialist to review and audit claims,... coding and documentation recommendations for adherence to risk adjustment models. + Reviews medical documentation… more
- CareFirst (Baltimore, MD)
- … or + Certified Coder (CCS or CPC)-AHIMA or AAPC **Experience:** 3 years experience in risk adjustment coding , ambulatory coding and/or CRC coding ... financial and incentive models. Strategizes alternatives and solutions to maximize payments and risk adjustment . Translates from claim language to services in an… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Medical Coding Specialist to support a leading health insurance customer. The individual acts as an ... models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an episode… more
- CenterWell (Jackson, MS)
- … leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible...provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …of experience as an instructor/trainer preferred. + Clinical knowledge and exposure to risk adjustment coding preferred. + Experience with Radiation Oncology ... Plans, writes, develops and conducts on-going training regarding professional services and risk adjustment revenue and reimbursement. + Interprets changes in the… more
- UTMB Health (Galveston, TX)
- …Coding Associate American Health Information Management (AHIMA) Or CCS - Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or CCS-P - ... Senior Coder - Revenue Cycle Coding (Remote) **Galveston, Texas, United States** **Hot** Business,...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional… more
- Hawaii Pacific Health (Honolulu, HI)
- …responsibility of a coding staff and Hierarchical Category Condition (HCC) coding and risk adjustment models. EOE/AA/Disabled/Vets Hawai'i Pacific Health ... direct oversight and management of the Billing, Charge Description Management, Coding , Admissions and Financial Service functions. As the Ambulatory Clinical… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …of experience as an instructor/trainer preferred. - Clinical knowledge and exposure to risk adjustment coding preferred. - Experience with Radiation Oncology ... or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist - Physician based (CCS-P). - One year of CPT and diagnosis… 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
- Robert Half Office Team (Haddon Heights, NJ)
- …at the end of the day? Do it from the comfort of your home. * New to risk adjustment ? We provide two days of remote paid training. Train virtually from home! * ... Description + Position: Chart Retrieval Specialist at Episource (Contract Role) + Location: HADDON...for payers. Today, we are an end-to-end enterprise for risk adjustment solutions. We've grown by learning… more
- 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 ... Patient Financial Services **Job Description:** The Outpatient Clinical Documentation Specialist (CDS) will perform concurrent and retrospective compliance reviews… more