- Trinity Health (Livonia, MI)
- Employment Type: Full time Shift: Description: CERTIFIED RISK ADJUSTMENT CODING SPECIALIST Location: Trinity Health PACE Corp Michigan Status: Full time ... one of the following certifications: Certified Outpatient Coder, Certified Coding Specialist , Certified Professional Coder thru AAPC...one year if hired. Two-years of experience in a risk adjustment coding environment required.… more
- Centene Corporation (Lansing, MI)
- …with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). Assists in delivering ... position. A license in one of the following is preferred: Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW),… more
- UnitedHealth Group (Eugene, OR)
- …financial analytical background within Medicare Advantage plans ( Risk Adjustment /STARS Calculation models) Microsoft Office specialist with exceptional ... metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected...metrics, inclusive minimally of 4 STAR gap closure and coding accuracy The person in this role is expected… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, ... to coding and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior … more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp ... 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
- Centene Corporation (Jefferson City, MO)
- … coding guidelines. + Validate clinical documentation to support appropriate risk adjustment coding , including Hierarchical Condition Categories (HCCs), ... reviews and advise on clinical best practices related to risk adjustment coding , HCC capture,...required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or… more
- Avera (Sioux Falls, SD)
- … (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director ... providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records...do** + Understand the rationale behind Risk Adjustment Work with physicians, clinic staff, coding ,… more
- Corewell Health (Grand Rapids, MI)
- About the Position The Population Health RN - Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical ... to manage multiple practices and priorities Preferred + Knowledge of HCC coding , risk adjustment , and value-based care model Preferred + Change management… more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Experience:** 5 years experience in risk adjustment coding , ambulatory coding and/or CRC ... and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment . Translates from claim language to services in an… more
- Trinity Health (Newtown Square, PA)
- …degree in Medical Field + If RN, Current Registered Nurse License + Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), or ... documentation in the record which impacts HCC or other risk score coding . + Conducts pre and...the outpatient setting required. + Minimum of one year Risk Adjustment Validation experience required. **We offer… more
- Health Care Service Corporation (Mcallen, TX)
- …Experience in health insurance or health care setting + Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail ... on health plan coding initiative guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation. This position… more
- Emanate Health (Covina, CA)
- …**J** **ob Summary** Responsible for the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the ... STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0...and achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to… more
- Hawaii Pacific Health (Honolulu, HI)
- …education to physicians and advanced practice providers (APPs). Previous experience with risk adjustment coding or clinical documentation improvement (CDI). ... experience. **Preferred Qualifications:** Certified Professional Coder - Risk Adjustment (CRC) or Certified Documentation Specialist (CCDS). Previous… more
- Ascension Health (Elk Grove Village, IL)
- …/ Registration: + One or more of the following required:* Certified Coding Specialist (CCS) credentialed from the American Health Information ... have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED**...in the CRC program please apply!** + 1 year ** RISK CODING ** experience, preferred (NEW GRADUATES WELCOME)… more
- CenterWell (Tallahassee, FL)
- … 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
- CVS Health (Austin, TX)
- …(Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with Microsoft ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and… more
- HCA Healthcare (Fort Lauderdale, FL)
- …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)
- …Coding Associate American Health Information Management (AHIMA) Or CCS - Cert-Cert Coding Specialist American Health Information Management (AHIMA) Or CCS-P - ... Senior Coder - RCO Coding **Galveston, Texas, United States** **New** Business, Managerial...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional… 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 - RCO Coding **Galveston, Texas, United States** Business, Managerial &...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional… more
- Bluestone Physician Services (Stillwater, MN)
- …reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers ... our team as a Part-Time Clinical Documentation Improvement (CDI) Specialist . The primary responsibility of this role is...support to Bluestone providers to enhance their understanding of risk adjustment coding guidelines and… more
