• Risk Adjustment Coding

    Trinity Health (Columbus, OH)
    …we provide leading education training and development opportunities to keep you working at yours. Risk Adjustment Coding Specialist works in a team ... 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 (12/19/24)
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  • Risk Adjustment Coding

    VNS Health (Manhattan, NY)
    …Coder (CPC) or Certified Coding Specialist (CCS) or (CRC) Certified Risk Adjustment Coder in ICD-10-CM coding preferred Education: + Bachelor's ... 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
    VNS Health (01/01/25)
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  • Health Risk Coding & Education…

    Henry Ford Health System (Troy, MI)
    Coding and Education Specialist - Level II, specific to the Risk Adjustment Coding and Clinical Education team will perform retrospective, ... and coding of CMS Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) and vendor...(RHIT) or Certified Professional Coder (CPC) required. + Certified Coding Specialist (CCS), Certified Coding more
    Henry Ford Health System (12/11/24)
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  • Clinical Documentation Integrity Specialist

    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
    UCLA Health (11/11/24)
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  • Risk Adjustment Specialist II…

    Centene Corporation (Phoenix, AZ)
    …70-100 providers. + Develop collaborative relationships with providers to educate and improve Risk Adjustment coding and documentation competencies. + Use ... travel to areas surrounding Tempe and Tucson, Arizona. **Position Purpose:** Utilize risk adjustment methodologies, principles, and knowledge of managed care… more
    Centene Corporation (11/17/24)
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  • Risk Adjustment Provider Programs…

    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 (12/06/24)
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  • Medical Coding Compliance Specialist

    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 (12/10/24)
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  • Lead Coding & Education Specialist

    Henry Ford Health System (Troy, MI)
    …that assure HAP's provider community improve with accurate submission of clinical documentation and coding of risk adjustment data through a combination of ... a subject matter expert to internal/external customers regarding MA/QHP risk adjustment and medical record coding...or Registered Health Information Technician (RHIT) required; + Certified Coding Specialist (CCS), Certified Coding more
    Henry Ford Health System (12/11/24)
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  • Clinical Documentation Specialist I…

    Baylor Scott & White Health (Columbus, OH)
    …Technologist (RHIT) May require one of the following certifications: Certified Coding Specialist (CCS) Certified Clinical Documentation Specialist ... **JOB SUMMARY** Clinical Doc Improvement Specialist 1 performs patient record reviews concurrently and/or...the final Diagnosis Related Group, Severity of Illness, and Risk of Mortality. **SALARY - WORK MODEL** 100% Remote… more
    Baylor Scott & White Health (01/03/25)
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  • PAR - Medical Coding Compliance…

    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
    Medical Mutual of Ohio (11/28/24)
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  • Hierarchical Condition Category (HCC)…

    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
    Highmark Health (12/20/24)
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  • Assistant Director of Medicare Advantage…

    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
    UCLA Health (11/27/24)
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  • Coding Integrity Specialist

    Independent Health (Buffalo, NY)
    …quality data analysis required to include a solid understanding of MA, ACA and MCD risk adjustment documentation and coding standards. + Ability to define ... first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Coding Integrity Specialist will be responsible for medical record… more
    Independent Health (12/19/24)
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  • Risk Adjustment Coder

    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
    Centene Corporation (11/22/24)
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  • Coding Training and Development…

    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
    Corewell Health (11/19/24)
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  • Sr Coding Compliance Auditor

    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
    Catholic Health Initiatives (12/23/24)
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  • Coder - Revenue Cycle Coding

    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 - ... Coder - Revenue Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial...Academy of Professional Coders (AAPC) Or CRC - Cert Risk Adjustment Coder American Academy of Professional… more
    UTMB Health (12/03/24)
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  • Coding Provider Educator Professional Fee

    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
    CommonSpirit Health Mountain Region (12/25/24)
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  • CDI Specialist - Managed Care Exp preferred

    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
    Fallon Health (12/26/24)
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  • Clinical Documentation Specialist

    Intermountain Health (Columbus, OH)
    Risk Adjustment Coder (CRC) certification from AAPC + Five years Risk adjustment coding experience **Preferred Qualifications** + Advanced level of ... practice providers (APP), and other staff about documentation and risk adjustment in order to improve the...+ Microsoft suite + Electronic Medical Record (EMR) + ICD/ Risk Coding + Clinical Knowledge + Outpatient… more
    Intermountain Health (01/01/25)
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