- Brockton Hospital (West Bridgewater, MA)
- …Summary: Under the general supervision of the Ambulatory Coding Manager, and the Senior Risk Coder , the primary function of this position is to ensure accurate ... problem solving and performance monitoring for associates. Works with Senior Risk Coder and Team members to perform Retrospective audits for identified open… more
- ChenMed (Miami, FL)
- …+ Coding Certificate required. APPC or AHIMA coding certified preferred. + CRC (certified risk coder ) is required, or minimum of 3-5 years' experience in ... rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and their office… 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 coding ... A certification in one of the following is required: * Certified Risk Adjustment Coder (CRC) * Certified Professional Coder (CPC) * Certified Coding… more
- Baystate Health (Springfield, MA)
- The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by ... an MA or LPN in an outpatient setting. **Position** + Prospective Outpatient Risk Adjustment Coder **SCHEDULE:** + Monday - Friday + No weekends no holidays +… more
- MedKoder (Mandeville, LA)
- Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis and ... medical record charts for the appropriate coding compliance + Coder is responsible for meeting daily production goal and...at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS +… more
- US Tech Solutions (Newark, NJ)
- …professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) ... and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the...current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders… more
- Marshfield Clinic (Marshfield, WI)
- …Coding Specialist (CCS) **or** Certified Coding Specialist-Professional (CCS-P) **or** Certified Risk Adjustment Coder (CRC) when applicable, within three years ... (Certified Coding Specialist (CCS) **or** Certified Coding Specialist-Professional (CCS-P) or Certified Risk Adjustment Coder (CRC) when applicable, at time of… more
- Geisinger (Danville, PA)
- …experience. Position Details Minimum one of the following certifications required: Certified Risk Adjustment Coder - American Academy of Professional Coders ... Minimum of 7 years-Relevant experience* (Required) Certification(s) and License(s) Certified Risk Adjustment Coder - American Academy of Professional Coders… more
- Vatica Health (Atlanta, GA)
- …Nurse (RN) or Licensed Practical Nurse (LPN) + Prefer incumbent to have Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), Certified ... looking for great people to join our diverse team. The RN Clinical Coder -Nurse Auditor will independently review cases, ensuring accurate ICD-10-CM risk adjusted… more
- Molina Healthcare (KY)
- … Risk Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer - ... codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts… more
- The Cigna Group (Bloomfield, CT)
- …Some type of coding certification, which may include Certified Professional Coder (CPC), Certified Coding Specialist for Providers (CCS-P), Certified Coding ... and polices related to documentation and coding. + Knowledgeable of Medicare Risk Adjustment. + Proficiency with ICD-10-CM coding and guidelines. + Must be… more
- Tufts Medicine (Burlington, MA)
- …you. **Summary/Objective** Under the guidance of the VP of Quality, Compliance and Risk , the Home Health Coder -QA Specialist provides guidance to other members ... on overall quality and completeness of clinical documentation. + The Home Health Coder -QA Specialist is responsible for assigning ICD 10 diagnoses codes to ensure… more
- CDPHP (Albany, NY)
- …enhance efficiency and quality practices. This position will work with the Manager, Risk Adjustment Coding Operations to prioritize coder workflows, communicate ... or CCS certification within one year of employment. + CRC (Certified Risk Adjustment Coder ) credential preferred. + Minimum three (3) years in an HMO, Managed… more
- Tufts Medicine (Burlington, MA)
- …provider education when necessary. **Job Description** **Minimum Qualifications:** 1. Certified Risk Adjustment Coder (CRC) **OR** Certified Professional ... care adult medicine experience. **Preferred Qualifications:** 1. Associate's degree. 2. Certified Risk Adjustment Coder (CRC) highly preferred. 3. Five (5) years… more
- Trinity Health (Livonia, MI)
- …Administrator thru AHIMA + Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must obtain within ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan… more
- Geisinger (Danville, PA)
- …years; Bachelor's Degree = 4 years). Position Details Minimum certifications required:Certified Risk Adjustment Coder (CRC) and Certified Professional Coder ... Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders… more
- The Cigna Group (Houston, TX)
- …Information Technician (RHIT) + Registered Health Information Administrator (RHIA) + Certified Risk Adjustment Coder (CRC) certification + Knowledge of CMS RADV ... Quality Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance operations for the Cigna Medicare segment. This… more
- Highmark Health (Columbus, OH)
- …and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified ... will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act… more
- St. Luke's Health System (Boise, ID)
- … Coder ), COC (Certified Outpatient Coder ), CIC (Certified Inpatient Coder ), CRC (Certified Risk Adjustment Coder ), CAISS (Certified Abbreviated ... Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries). **What's in it for You:** At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to… more
- Sutter Health (Sacramento, CA)
- …related field **CERTIFICATION & LICENSURE:** CCS-Certified Coding Specialist OR CPC-Certified Professional Coder OR CRC-Certified Risk Adjustment Coder OR ... practices are appropriate. Assists with the assessment of potential or existing risk in regulatory and/or coding practices and conducts or coordinates research as… more