- 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 (Columbus, OH)
- …and enrollment opportunities at the Mount Carmel College of Nursing **About the job:** The Risk Adjustment Coding Specialist works in a team environment ... ICD-9/10 coding , and subsequent ICD versions. + Expanded knowledge of Risk Adjustment and HCC coding . + Knowledge of payer contracts and reimbursement.… 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 (Philadelphia, PA)
- …least one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) ... Must reside in Philadelphia** Job Description: Coding Education Specialist (AHIMA or AAPC...medical office coding experience, preferably two years risk adjustment coding experience. +… 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
- 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
- Apex Health Solutions (Houston, TX)
- …and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Reports to: AVP, ... SUMMARY: Risk Adjustment Coder is responsible for... Risk Adjustment Coder is responsible for reviewing, abstracting,...Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding Specialist (CCS) EXPERIENCE: * Minimum of… more
- Baylor Scott & White Health (Temple, TX)
- …Scott and White Health strategies and processes for lines of business subject to risk adjustment . **ESSENTIAL FUNCTIONS OF THE ROLE** + Conducts provider 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
- 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) ... Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation...+ Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information… 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
- St. Luke's Health System (Boise, ID)
- …Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist ), CSTR ... Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC… 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
- Geisinger (Danville, PA)
- …experience. Position Details Minimum one of the following certifications required: Certified Risk Adjustment Coder - American Academy of Professional Coders ... Certified Professional Coder - American Academy of Professional Coders (AAPC) Certified Coding Specialist - American Academy of Professional Coders (AAPC)… 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)
- …3 year of experience as an instructor/trainer. - Clinical knowledge and exposure to risk adjustment coding . - Experience with Radiation Oncology coding ... 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