- The Cigna Group (Bloomfield, CT)
- …regulations and polices related to documentation and coding. + Knowledgeable of Medicare Risk Adjustment . + Proficiency with ICD-10-CM coding and guidelines. + ... Some type of coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding… more
- MedKoder (Mandeville, LA)
- …(recent hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC , CCC HEDIS + Auditing ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly...medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and… more
- Insight Global (Tampa, FL)
- …Skills and Requirements Active CPC (Certified Professional Coder ) 4-5 years HCC / Risk Adjustment Coding experience Must have concurrent coding experience ... Job Description Insight Global is hiring HCC / Risk Adjustment Medical coders (100% REMOTE) to support a backlog for inpatient and outpatient Medicare… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health ... LPN in an outpatient setting. **Position** + Prospective Outpatient Risk Adjustment Coder **SCHEDULE:** +...payor or healthcare coding position + with exposure to risk adjustment / HCC coding, or combination… more
- Apex Health Solutions (Houston, TX)
- SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 ... in one of the following is required: * Certified Risk Adjustment Coder (CRC) *...Specialist (CCS) EXPERIENCE: * Minimum of three (3) years HCC experience performing retrospective risk adjustment… more
- Insight Global (Fort Myers, FL)
- Job Description Insight Global Health is seeking a dedicated risk adjustment coder for a health care client located in the Fort Myers, FL area to join their ... team. The risk adjustment coder will be...team. The risk adjustment coder will be responsible for: -Performing...in Physician/professional service coding . 3+ Experience with Medicare risk adjustment coding and HCC … more
- Highmark Health (Columbus, OH)
- …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder… more
- The Cigna Group (Bloomfield, CT)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- The Cigna Group (Baltimore, MD)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- Banner Health (AZ)
- …coding experience required. Experience normally obtained with 2-3 year experience in CMS HCC Risk Adjustment payment methodology and coding and documentation ... and career here! In this **Inpatient Facility/HIMS Certified Medical CODER QUALITY ASSOCIATE -Remote** position, you bring your **3-5+...and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors… more
- The Cigna Group (Bloomfield, CT)
- …least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) ... terminology, disease process, anatomy, and physiology. + Working Knowledge of CMS Risk Adjustment and HCC Coding Process. + Strong computer skills (ie,… more
- Centene Corporation (Columbia, SC)
- …medical coder 2+ years of experience in coding with knowledge of Medicare risk adjustment ( HCC Coding) Required Other experience in teaching, training or ... setting, or a Managed Care Organization as a medical coder is required. 1+ years of experience in medical...years of experience in coding with knowledge of Medicare risk adjustment ( HCC Coding) Required… more
- Tufts Medicine (Burlington, MA)
- …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... medicine experience. **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly...to physicians on a regular basis in regards to Risk Adjustment Coding guidelines ( HCC /DxCG),… more
- CDPHP (Albany, NY)
- …completion of CPC or CCS certification within one year of employment. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum three (3) years ... and quality practices. This position will work with the Manager, Risk Adjustment Coding Operations to prioritize coder workflows, communicate risk … more
- Atrius Health (Newton, MA)
- …before missing diagnoses are added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in accordance with ... record reviews to ensure that all documented chronic disease ( HCC or other risk model) diagnoses are...electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and… more
- Atrius Health (Newton, MA)
- …are captured in electronic medical record. Is an active member of the Risk Adjustment Team, participating in creating and implementing new initiatives for ... Atrius Health risk adjustment programs. EDUCATION/LICENSES/CERTIFICATIONS Graduate of a...State-approved program/school for Physician Assistants (PA). Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC- risk , AAPC)… more
- Centene Corporation (NV)
- …medical coder . 2+ years experience in coding with knowledge of Medicare risk adjustment ( HCC Coding). Required experience- teaching, training or ... record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care.… more
- Centene Corporation (Yuma, AZ)
- …medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality ... and market level. + Subject matter experts for proper risk adjustment coding and CMS data validation...setting, or a Managed Care Organization as a medical coder is required. 1+ years of experience in medical… more
- UPMC (Pittsburgh, PA)
- …and manages staff that performs audit activities. + Assist with the National Risk Adjustment reviews and audits + Analyzes, evaluates, and presents information ... capabilities, and design and development of department workflows. + Identify high risk HCC diagnosis codes, oversee review processes and distribution of… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: Serves as an internal expert on Risk Adjustment and Hierarchical Conditions Categories ( HCC ) coding. Specific duties include performing ... reports key performance indicators relative to clinical documentation and HCC coding. . Documents and maintains records of all...with one or more of the following credentials: Certified Risk Coder (CRC), Certified Professional Coder… more