- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and ... and documentation guidelines. The development and ongoing maintenance of the Commercial Risk Adjustment Coding guidelines, as well as, guiding junior… more
- CDPHP (Albany, NY)
- …employees who share these values and invites you to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart ... review and ICD-10 diagnosis coding of risk adjustment eligible...or GED required. Associates degree preferred. + CCS/CCS-P (Certified Coding Specialist ) or CPC/CPC-A (Certified Coding… 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
- Point32Health (MA)
- …validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider ... and recommendations to improve overall provider documentation and coding . The Risk Adjustment Coding Specialist II will review medical records to… more
- The Cigna Group (Nashville, TN)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... ** Coding Education Specialist (AHIMA or AAPC...medical office coding experience, preferably two years risk adjustment coding experience. +… 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
- Trinity Health (Hartford, CT)
- …**Shift:** Day Shift **Description:** **Position Purpose** The Clinically Integrated Network (CIN) Risk Coding Specialist is responsible for reviewing ... guidelines, payor regulations, compliance and reimbursement, and the effects of coding in relation to risk adjustment payment models + Conduct chart review… more
- The Cigna Group (Bluffton, SC)
- …Part C audit activities for the Cigna Compliance Department, with particular emphasis on Coding , Risk Adjustment and Coding Decisions. Collaborates with ... received;*Provides subject matter expertise in response to day-to-day business issues related to coding and risk adjustment ;*Manage a specific caseload of … more
- Health First (Rockledge, FL)
- …medical records with documentation to include coding of ICD-10-CM codes to validate Risk Adjustment data for the MA and/or IFP lines of business. 4. Maintain ... coding education updates. 7. Remain current on diagnosis coding guidelines and risk adjustment ...o Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA (will be… more
- CaroMont Health (Gastonia, NC)
- …Specialists regarding coding guidelines and documentation required to capture HCC's for Risk Adjustment coding . Train and educate coding staff ... Job Summary: To identify needs for (through auditing or other methods)and provide coding education related to HCC (Hierarchical Category Coding ). Serve as a… more
- CVS Health (Tallahassee, FL)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... required. **Required Qualifications** + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + Minimum of 3 years recent… 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
- Hawaii Pacific Health (Honolulu, HI)
- …Information Technician certification, Certified Professional Coder - Risk Adjustment (CRC) or Certified Clinical Documentation Specialist (CCDS). Previous ... Non-Bargaining Starting Hourly Rate: 37.34 **Exempt:** Yes **Minimum Qualifications:** Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or… more
- Hackensack Meridian Health (Neptune, NJ)
- …but not limited to Microsoft Office and Google Suite platforms. + Knowledge of Risk Adjustment by using Vizient Calculator to increase expected mortality and ... expected length of stay. Licenses and Certifications Required: + Certified Coding Specialist (CCS); + Certified Documentation Integrity/Improvement Practitioner… 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 **Galveston, Texas, United States** **New** **Hot** Business,...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional… more
- Mount Sinai Health System (New York, NY)
- …Credentials in one or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified ... or more of the following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional Coder (CPC)… 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
- Intermountain Health (Las Vegas, NV)
- …leaders, physicians, advanced practice providers (APP), and other staff about documentation and risk adjustment in order to improve the accuracy of the overall ... mentor to leaders, physicians, APP's, and other staff about documentation and risk adjustment . + Reviews medical records documentation for reimbursement,… 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